Intrapancreatic accessory spleen issues: diagnostic and therapeutic challenges.
BACKGROUND
Intrapancreatic accessory spleen is an exceptionally rare entity, commonly mistaken for a pancreatic neoplasm. Preoperative diagnosis based on radiologic imaging features is difficult. Aspiration cytology may be misleading due to poor sampling.


METHODS
We report a very rare case of an intrapancreatic accessory spleen which radiologically and cytologically mimicked a neuroendocrine pancreatic tumor.


CONCLUSIONS
Modern imaging techniques will probably lead to an increasing number of intrapancreatic accessory spleens being discovered, posing significant diagnostic and therapeutic challenges.
Arkadopoulos
Nikolaos
N
Second Department of Surgery, Athens University Medical School, Aretaieion Hospital, Athens, Greece.
Athanasopoulos
Panagiotis
P
Stafyla
Vaia
V
Karakatsanis
Andreas
A
Koutoulidis
Vassilios
V
Theodosopoulos
Theodosios
T
Karvouni
Eleni
E
Smyrniotis
Vassilios
V
D002828:Choristoma / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D019160:Endosonography; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000175:diagnosis* / Q000628:therapy; D013154:Spleen