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Accessory spleen masquerading as a pancreatic neoplasm
Theresa L Schwartz1, Barbara B Sterkel, Goswin Y Meyer-Rochow
1Department of Veterans Affairs Medical Center, St Louis, MO 63106, USA.
American Journal of Surgery
|June 6, 2009
Summary
A pancreatic mass was initially suspected to be a neuroendocrine neoplasm. Noninvasive imaging led to the correct diagnosis of an intrapancreatic accessory spleen, preventing unnecessary surgery.
Area of Science:
- Gastroenterology and Radiology
Background:
- Pancreatic masses require accurate diagnosis to guide treatment.
- Neuroendocrine neoplasms are a differential diagnosis for pancreatic lesions.
Observation:
- A computed tomography scan revealed a pancreatic mass.
- The mass was initially suspected to be a nonfunctioning pancreatic neuroendocrine neoplasm.
Findings:
- The mass was diagnosed as an intrapancreatic accessory spleen.
- Diagnosis was achieved through noninvasive imaging techniques.
Implications:
- Noninvasive diagnosis of intrapancreatic accessory spleen can avoid surgical intervention.
- Accurate imaging interpretation is crucial for differentiating benign from malignant pancreatic lesions.
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