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Intrapancreatic accessory spleen: An eluding diagnosis
K H Teoh1, S Balraj2, S R Navarasi3
1Penang General Hospital, Department of General Surgery, Penang, Malaysia. kito.tkh@gmail.com.
Intrapancreatic accessory spleen (IPAS) is a rare pancreatic pseudotumour. Recognizing IPAS in imaging can prevent unnecessary surgery for this benign splenic anomaly.
Area of Science:
- Gastroenterology
- Radiology
- Pathology
Background:
- Intrapancreatic accessory spleen (IPAS) is a rare congenital anomaly.
- It can present as a pancreatic pseudotumour, mimicking other neoplastic lesions.
- Accurate diagnosis is crucial to avoid unnecessary surgical intervention.
Observation:
- A 70-year-old Malay female incidentally found to have an IPAS during CT surveillance for lung fibrosis.
- The lesion radiologically mimicked a neuroendocrine pancreatic tumour.
- Pathological examination post-surgery confirmed the diagnosis of IPAS.
Findings:
- IPAS can present as an enhancing pancreatic mass on computed tomography (CT).
- Radiological features of IPAS can overlap with neuroendocrine pancreatic tumours.
- Definitive diagnosis of IPAS requires pathological confirmation.
Implications:
- Recognizing IPAS as a differential diagnosis for pancreatic masses is essential.
- Utilizing non-invasive diagnostic methods can prevent unnecessary pancreatic surgery.
- Accurate diagnosis of IPAS avoids surgical complications and reduces healthcare costs.
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