Open AccessIntrapancreatic accessory spleen: an enigmatic entity
Author(s) -
Namita Chavan,
Gunjan Desai,
Chandralekha Tampi,
Prasad Wagle
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-228510
Subject(s) - medicine , pancreas , accessory spleen , differential diagnosis , histopathology , chromogranin a , lesion , distal pancreatectomy , spleen , pathology , metastasis , radiology , neoplasm , splenectomy , immunohistochemistry , cancer
Solitary hypervascular lesion in the distal body/tail of pancreas in a patient with non-specific abdominal symptoms is a diagnostic challenge. Neuroendocrine neoplasm (NEN) and metastasis from renal cell carcinoma are the most common differentials and intrapancreatic accessory spleen (IPAS) is the rarest of its differential diagnosis. We present, here, a case of a 56-year-old man with a space-occupying lesion in body/tail of pancreas that was preoperatively diagnosed as a NEN based on elevated chromogranin levels and hyperenhancing lesion on contrast-enhanced CT scan. He underwent a spleen-preserving distal pancreatectomy. The final histopathology revealed an IPAS.