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  3. Vol 15, No 3 (2022): Summer
  4. Case Presentation

ISSN: 2008-2258

Vol 15, No 3 (2022): Summer

Not Every Pancreatic Mass is Cancer: A Case of a Large Intra-Pancreatic Splenule

  • Nicholas McDonald
  • Daniyal Abbas
  • Mohammad Bilal

Gastroenterology and Hepatology from Bed to Bench, ,
https://doi.org/10.22037/ghfbb.v15i3.2539 Published 20 June 2022

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Abstract

We report a case of a 72-year-old man who was referred to our tertiary medical center for endoscopic ultrasound (EUS) evaluation for an incidental 2 cm mass in the tail of the pancreas seen on computed tomography (CT).  On EUS, a 22 mm by 13 mm, well-defined hypoechoic mass was identified within the pancreatic tail and a fine needle biopsy was performed. Histopathology revealed benign pancreatic parenchyma and the presence of lymphocytes. A technetium-99m sulfur colloid scan was performed which demonstrated uptake in the pancreatic tail lesion, consistent with an intra-pancreatic splenule. This case demonstrates that a splenule or accessory splenic tissue should remain in the differential diagnosis of a pancreatic mass. An accurate diagnosis of pancreatic splenule can preclude surgical resection. 

Keywords:
  • Pancreas
  • splenule
  • EUS
  • pancreatic mass

How to Cite

McDonald, N., Abbas, D., & Bilal, M. (2022). Not Every Pancreatic Mass is Cancer: A Case of a Large Intra-Pancreatic Splenule. Gastroenterology and Hepatology from Bed to Bench, 15(3). https://doi.org/10.22037/ghfbb.v15i3.2539
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References

George M, Evans T, Lambrianides AL. Accessory spleen in pancreatic tail. J Surg Case Rep. 2012;2012(11):rjs004. Published 2012 Dec 4. doi:10.1093/jscr/rjs004
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