Zhuo Zhang1, Jian Cheng Wang. 1. Department of Surgery, Rui Jin Hospital Medical College Jiao Tong University, 200025 Shanghai, PR China.
Abstract
CONTEXT: Generally, ectopic splenic tissue such as an accessory spleen is reported to have an incidence of 10% in the general population. However, an intrapancreatic accessory spleen has seldom been reported and cyst formation of the intrapancreatic accessory spleen is extremely rare. CASE REPORT: A 26-year-old female patient with no clinical manifestations presented with a cyst in the tail of the pancreas which had been diagnosed by ultrasonography. A spleen-preserving distal pancreatectomy was performed with the presumptive diagnosis of a mucinous cystic tumor originating from the pancreas. The intraoperative frozen section showed the possibility of serous cystadenoma of the pancreas. The pathological examination revealed the cyst to be stratified squamous epithelium and was surrounded by splenic tissue and the final diagnosis was epithelial splenic cyst in an intrapancreatic accessory spleen. CONCLUSION: Although great progress has been made with modern imaging techniques, it is still difficult to make a definitive diagnosis of cystic lesions in the pancreas.
CONTEXT: Generally, ectopic splenic tissue such as an accessory spleen is reported to have an incidence of 10% in the general population. However, an intrapancreatic accessory spleen has seldom been reported and cyst formation of the intrapancreatic accessory spleen is extremely rare. CASE REPORT: A 26-year-old female patient with no clinical manifestations presented with a cyst in the tail of the pancreas which had been diagnosed by ultrasonography. A spleen-preserving distal pancreatectomy was performed with the presumptive diagnosis of a mucinous cystic tumor originating from the pancreas. The intraoperative frozen section showed the possibility of serous cystadenoma of the pancreas. The pathological examination revealed the cyst to be stratified squamous epithelium and was surrounded by splenic tissue and the final diagnosis was epithelial splenic cyst in an intrapancreatic accessory spleen. CONCLUSION: Although great progress has been made with modern imaging techniques, it is still difficult to make a definitive diagnosis of cystic lesions in the pancreas.
Authors: Willemijn P M van Dijck; Vincent P Groot; Lodewijk A A Brosens; Jeroen Hagendoorn; Inne H M Borel Rinkes; Maarten S van Leeuwen; I Quintus Molenaar Journal: Case Rep Gastrointest Med Date: 2016-10-25
Authors: Nick Zavras; Nick Machairas; Pericles Foukas; Andreas Lazaris; Paul Patapis; Anastasios Machairas Journal: World J Surg Oncol Date: 2014-04-10 Impact factor: 2.754