Year 2019 / Volume 111 / Number 4
Letter
Sometimes things are what they seem

334

DOI: 10.17235/reed.2019.5911/2018

Ana Barbado Cano on behalf of Grupo de Trabajo de Aparato Digestivo en Enfermedades Biliopancreáticas*, Eva Marín Serrano, Ana Barbado Cano,

* Grupo de Trabajo de Aparato Digestivo en Enfermedades Biliopancreáticas: Ana Barbado Cano

Abstract
Accessory spleen is a frequent congenital abnormality (10-20%) resulting in the fusion failure of splenunculi. We present a case report of a 74 year-old man with a nodule identified in the tail of the pancreas of 1.8 cm x 1.5 cm in size. The CT scan showed soft tissue attenuation and arterial hyperenhancement with a lower uptake in the central area, low 18-FDG affinity and no evidence of 111-In-octretide uptake. A solid, round and well-circumscribed nodule was defined as an intrapancreatic accessory spleen (IPAS) by endoscopic ultrasound (EUS), due to shared ultrasonographic characteristics and a pattern of contrast enhancement with the spleen. The material obtained by EUS guided puncture was consistent with a lymph node. A distal pancreatectomy confirmed the presence of an IPAS.
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References
BIBLIOGRAFÍA:
1. Wadham BM, Adams PB, Johnson MA. Incidence and location of accessory spleens. N Engl J Med 1981; 304: 1111
2. Li BQ, Xu XQ, Guo JC. Intrapancreatic accessory spleen: a diagnostic dilemma. HPB (Oxford). 2018 [Epub ahead of print]
3. Val-Bernal JF, Martino M, Yllera-Contreras E, Castro-Senosiain B, Bueno-Ortiz
P. Intrapancreatic accessory spleen. Report of four cases diagnosed by
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Barbado Cano A, Marín Serrano E, Barbado Cano A. Sometimes things are what they seem. 5911/2018


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Publication history

Received: 08/09/2018

Accepted: 25/09/2018

Online First: 27/02/2019

Published: 04/04/2019

Article Online First time: 172 days

Article editing time: 208 days


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