Teoh K H, Balraj S, Navarasi S R
Penang General Hospital, Department of General Surgery, Penang, Malaysia.
Penang General Hospital, Department of Pathology, Penang, Malaysia.
Med J Malaysia. 2017 Feb;72(1):68-70.
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.
胰腺内副脾（IPAS）是脾脏胚胎学的一种良性异常，也是胰腺假性肿瘤的罕见病因。在此，我们报告一例70岁马来女性病例，其IPAS在针对潜在左下肺纤维化进行的监测计算机断层扫描中被偶然发现。在影像学上，该病变类似神经内分泌胰腺肿瘤，仅在手术后经病理诊断为IPAS。总之，将IPAS视为强化胰腺肿块的鉴别诊断有助于我们穷尽所有非侵入性诊断手段来诊断这种良性病变。这将使患者避免不必要的手术及其伴随的并发症。
