title: Intrapancreatic accessory spleen. A case report and review of literature.
abstract: BACKGROUND
  Accessory spleen is a congenital focus of healthy splenic tissue that is separated from the main body of spleen. Although an accessory spleen usually appears as an isolated asymptomatic abnormality, it may have clinical significance in some situations.
  
  
  METHODS
  We report the case of 53-year-old woman with a 2-year history of upper abdominal discomfort after meals and weight loss. The pathologic lesion was diagnosed by the abdominal sonography and the magnetic resonance tomography in the pancreatic tail. The patient was operated with suspicion of a solid pseudopapillary neoplasm or a nonfunctioning islet cell tumor. Histopathological examination found an intrapancreatic accessory spleen, which is a congenital abnormality consisting of normal splenic tissue in ectopic sites.
  
  
  CONCLUSIONS
  We present possibilities of differential diagnosis of this entity.
authors.affiliation: First Department of Surgery, University Hospital and Safarik University, Kosice, Slovakia. jana.katuchova@upjs.sk
authors.forename: Jana
authors.initials: J
authors.lastname: Katuchova
authors.forename: Helena
authors.initials: H
authors.lastname: Baumohlova
authors.forename: Pavol
authors.initials: P
authors.lastname: Harbulak
authors.forename: Miloslava
authors.initials: M
authors.lastname: Stofcikova
authors.forename: Marian
authors.initials: M
authors.lastname: Svajdler
authors.forename: Andrej
authors.initials: A
authors.lastname: Repovsky
authors.forename: Jozef
authors.initials: J
authors.lastname: Radonak
mesh_terms: D002828:Choristoma / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000175:diagnosis* / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000175:diagnosis; D013154:Spleen; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography