title: Intrapancreatic accessory spleen: An eluding diagnosis.
abstract: Intrapancreatic accessory spleen (IPAS) is a benign anomaly of splenic embryology and a rare cause of pancreatic pseudotumour. Here, we report a case of a 70-year-old Malay lady whose IPAS was discovered incidentally during her surveillance computed tomography for her underlying left lower lung fibrosis. Radiologically, the lesion mimicked a neuroendocrine pancreatic tumour and was only diagnosed pathologically as IPAS after surgery. In conclusion, recognising IPAS as a differential for enhancing pancreatic mass allows us to exhaust all non-invasive diagnostic means to diagnose this benign lesion. It will allow the patient to avoid unnecessary surgery and its accompanying complications.
authors.affiliation: Penang General Hospital, Department of General Surgery, Penang, Malaysia. kito.tkh@gmail.com.
authors.forename: K H
authors.initials: KH
authors.lastname: Teoh
authors.affiliation: Penang General Hospital, Department of General Surgery, Penang, Malaysia.
authors.forename: S
authors.initials: S
authors.lastname: Balraj
authors.affiliation: Penang General Hospital, Department of Pathology, Penang, Malaysia.
authors.forename: S R
authors.initials: SR
authors.lastname: Navarasi
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology; D013154:Spleen / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed