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Updated: Sep 20, 2025

Robotic Spleen-Preserving Distal Pancreatectomy: The Warshaw and Kimura Techniques

Robotic Spleen-Preserving Distal Pancreatectomy: The Warshaw and Kimura Techniques

Published on: July 26, 2024

Accessory Spleen Masquerading as an Intrapancreatic Tumor: A Case Report.

Harrison C Smith¹, Nandita Kakar¹, Anthony M Shadid²

¹Medical School, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

|June 6, 2022

Summary

Splenosis or intrapancreatic accessory spleen (IPAS) can mimic pancreatic cancer. Non-invasive imaging like CT and MRI, confirmed by nuclear medicine, helps differentiate this benign condition, avoiding unnecessary procedures.

Keywords:

abdominal pain accessory spleen ectopic spleen nuclear medicine imaging pancreatic tumor splenosis

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Laparoscopic Posterior Radical Antegrade Modular Pancreatosplenectomy for Distal Pancreatic Carcinoma

Laparoscopic Posterior Radical Antegrade Modular Pancreatosplenectomy for Distal Pancreatic Carcinoma

Published on: December 29, 2023

Area of Science:

Gastroenterology
Radiology
Nuclear Medicine

Background:

Splenic tissue in the pancreas (splenosis or intrapancreatic accessory spleen - IPAS) is uncommon.
It often presents as an intrapancreatic mass, raising concern for malignancy.

Observation:

Intrapancreatic masses frequently trigger extensive diagnostic workups for pancreatic cancer.
This can lead to unnecessary invasive tests and surgeries for benign conditions like IPAS.

Findings:

Contrast-enhanced CT and MRI show similar signal intensities and enhancement patterns between the spleen and IPAS.
Tc-99m heat-damaged red blood cell (HDRBC) nuclear medicine scans confirm IPAS by demonstrating uptake.

Implications:

Non-invasive diagnostic techniques are crucial for correctly identifying IPAS.
Accurate diagnosis reduces patient exposure to risks associated with invasive procedures and surgery.
Differentiating IPAS from pancreatic malignancy improves patient outcomes and healthcare resource allocation.