中文｜English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 40 Issue 2
Feb.  2024
Turn off MathJax
Article Contents
Article Navigation >  Journal of Clinical Hepatology  > 2024  >  40(2): 365-368

Misdiagnosis of intrapancreatic accessory spleen： A report of two cases

DOI: 10.12449/JCH240223

  • Department of Pancreatic Surgery，Renmin Hospital of Wuhan University，Wuhan 430060，China

More Information
  • Corresponding author: ZHANG Zhengle， zzlhkd@163.com （ORCID： 0000-0003-1895-4366）
  • Received Date: 2023-04-09
  • Accepted Date: 2023-05-31
  • Published Date: 2024-02-19
    Abstract
  • Accessory spleen refers to the spleen tissue that exists outside of the normal spleen， with a similar structure to the main spleen and certain functions. Intrapancreatic accessory spleen （IPAS） completely enveloped by the pancreas has an incidence rate of only 2%， and it is easily misdiagnosed in clinical practice due to its atypical clinical symptoms and similar radiological features to pancreatic neuroendocrine tumor， pancreatic solid pseudopapillary tumor， and other pancreatic space-occupying lesions. This article reports the clinical data of two patients with IPAS who were misdiagnosed as pancreatic neuroendocrine tumor and pancreatic solid pseudopapillary tumor， respectively， analyzes the reasons for misdiagnosis， and summarizes the experience in diagnosis and treatment， in order to improve the ability for the differential diagnosis of IPAS in clinical practice.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    TIPTON SG, SMYRK T, SARR MG, et al. Malignant potential of solid pseudopapillary neoplasm of the pancreas[J]. Br J Surg, 2006, 93( 6): 733- 737. DOI: 10.1002/bjs.5334.
    [2]
    MOVITZ D. Accessory spleens and experimental splenosis. Principles of growth[J]. Chic Med Sch Q, 1967, 26( 4): 183- 187.
    [3]
    HALPERT B, GYORKEY F. Lesions observed in accessory spleens of 311 patients[J]. Am J Clin Pathol, 1959, 32( 2): 165- 168. DOI: 10.1093/ajcp/32.2.165.
    [4]
    RADOJKOVIC M, RADOJKOVIC D, PREMOVIC N. Intrapancreatic accessory spleen[J]. Med Clínica, 2021, 157( 3): 153- 154. DOI: 10.1016/j.medcli.2020.05.031.
    [5]
    ZHAO X, ZHOU ZQ, XIANG K, et al. CT diagnosis of intrapancreatic accessory spleen(a report of 2 cases)[J]. Radiol Pract, 2013, 28( 10): 1046- 1048. DOI: 10.13609/j.cnki.1000-0313.2013.10.015.

    赵旭, 周志强, 项鹍, 等. 胰腺内异位副脾的CT诊断(附2例报道)[J]. 放射学实践, 2013, 28( 10): 1046- 1048. DOI: 10.13609/j.cnki.1000-0313.2013.10.015.
    [6]
    KIM SH, LEE JM, HAN JK, et al. Intrapancreatic accessory spleen: Findings on MR Imaging, CT, US and scintigraphy, and the pathologic analysis[J]. Korean J Radiol, 2008, 9( 2): 162- 174. DOI: 10.3348/kjr.2008.9.2.162.
    [7]
    JANG KM, KIM SH, LEE SJ, et al. Differentiation of an intrapancreatic accessory spleen from a small(<3-cm) solid pancreatic tumor: Value of diffusion-weighted MR imaging[J]. Radiology, 2013, 266( 1): 159- 167. DOI: 10.1148/radiol.12112765.
    [8]
    PENG HF, GONG J, LI Q. A case of epidermoid cyst of intrapancreatic accessory spleen[J]. J Clin Hepatol, 2018, 34( 11): 2413- 2414. DOI: 10.3969/j.issn.1001-5256.2018.11.032.

    彭翰斐, 龚瑾, 李强. 胰腺尾部副脾上皮样囊肿1例报告[J]. 临床肝胆病杂志, 2018, 34( 11): 2413- 2414. DOI: 10.3969/j.issn.1001-5256.2018.11.032.
    [9]
    NI X, HU XM, JIANG H. Clinicopathologic analysis of epidermoid cyst in intrapancreatic accessory spleen: A report of 12 cases[J]. Chin J Pancreatol, 2022, 22( 3): 201- 204. DOI: 10.3760/cma.j.cn115667-20210829-00156.

    倪响, 胡小木, 蒋慧. 胰腺内副脾伴表皮样囊肿12例临床病理特征分析[J]. 中华胰腺病杂志, 2022, 22( 3): 201- 204. DOI: 10.3760/cma.j.cn115667-20210829-00156.
    [10]
    OTA T, TEI M, YOSHIOKA A, et al. Intrapancreatic accessory spleen diagnosed by technetium-99m heat-damaged red blood cell SPECT[J]. J Nucl Med, 1997, 38( 3): 494- 495.
    [11]
    SCHMID-TANNWALD C, SCHMID-TANNWALD CM, MORELLI JN, et al. Comparison of abdominal MRI with diffusion-weighted imaging to 68Ga-DOTATATE PET/CT in detection of neuroendocrine tumors of the pancreas[J]. Eur J Nucl Med Mol Imaging, 2013, 40( 6): 897- 907. DOI: 10.1007/s00259-013-2371-5.
    [12]
    MAKINO Y, IMAI Y, FUKUDA K, et al. Sonazoid-enhanced ultrasonography for the diagnosis of an intrapancreatic accessory spleen: A case report[J]. J Clin Ultrasound, 2011, 39( 6): 344- 347. DOI: 10.1002/jcu.20798.
    [13]
    PENG N, MI JW, ZHAO DQ. Endoscopic ultrasonography in the diagnosis and treatment of pancreatic neuroendocrine tumors[J]. Chin J Ultrason, 2020( 1): 87- 90. DOI: 10.3760/cma.j.issn.1004-4477.2020.01.017.

    彭娜, 秘建威, 赵东强. 超声内镜在胰腺神经内分泌肿瘤诊治中的进展[J]. 中华超声影像学杂志, 2020( 1): 87- 90. DOI: 10.3760/cma.j.issn.1004-4477.2020.01.017.
    [14]
    XIA XX, LYU GY, QIU XT, et al. Intrapancreatic accessory spleen misdiagnosed as pancreatic neuroendocrine tumor: A case report[J]. J Clin Hepatol, 2022, 38( 2): 436- 438. DOI: 10.3969/j.issn.1001-5256.2022.02.036.

    夏旭翔, 吕国悦, 仇晓桐, 等. 胰腺内副脾误诊为胰腺神经内分泌肿瘤1例报告[J]. 临床肝胆病杂志, 2022, 38( 2): 436- 438. DOI: 10.3969/j.issn.1001-5256.2022.02.036.
    [15]
    TATSAS AD, OWENS CL, SIDDIQUI MT, et al. Fine-needle aspiration of intrapancreatic accessory spleen: Cytomorphologic features and differential diagnosis[J]. Cancer Cytopathol, 2012, 120( 4): 261- 268. DOI: 10.1002/cncy.21185.
    [16]
    BASTIDAS AB, HOLLOMAN D, LANKARANI A, et al. Endoscopic ultrasound-guided needle-based probe confocal laser endomicroscopy(nCLE) of intrapancreatic ectopic spleen[J]. ACG Case Rep J, 2016, 3( 3): 196- 198. DOI: 10.14309/crj.2016.48.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(6)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (331) PDF downloads(50) Cited by()
    Proportional views
    Related
        

    The first journal specializing in hepatobiliary and pancreatic diseases in China

    Supervisor：Ministry of Education of the People's Republic of China

    Sponsor：Jilin University

    Academic Support: Chinese Society of Hepatology，Chinese Medical Association

    Address: 461 Xinjiang Road, Changchun

    Submit：0431-88782044

    Peer review：0431-88783542

    Email：lcgdb@vip.163.com

    About Journal

    Submission Guideline

    Journal Online

    Hepatobiliary College

    Guidelines

    YesterdayIP[]YesterdayPV[]TodayIP[]TodayPV[]Online[]

    Website Design © 2020 Editorial Board of Journal of Clinical Hepatology 吉ICP备10000617号-1 Supported by: Beijing Renhe Information Technology Co. Ltd  

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return