Li Le, Liu Xiaohua, Chen Jinming, Liu Zhonghua, Li Qiang, Shi Ying
The Hepatobiliary Surgery, Chifeng Municipal Hospital.
Department of Medical Oncology, Affiliated Hospital of Chifeng College, Chifeng, Inner Mongolia Autonomous, China.
Medicine (Baltimore). 2019 Aug;98(31):e16488. doi: 10.1097/MD.0000000000016488.
Intrapancreatic accessory spleen (IPAS) has been rarely noted radiologically because the spatial resolution of conventional images was low. The infrequent presence of the accessory spleen in the pancreatic tissue could lead to inappropriate diagnosis, thereby necessitating a therapeutic approach. The present study reported such cases and summarized the available imaging findings to reduce unnecessary invasive surgeries.
The patient's complaint was "a pancreatic mass was found for half a month."
IPAS was eventually diagnosed by pathology.
Laparoscopic spleen-preserving pancreatic resection.
Postoperative course was uneventful and the patient was discharged from our hospital after 10 days.
When an asymptomatic pancreatic mass is detected, the diagnosis of IPAS should not be excluded, especially if the lesion has the same imaging features as the spleen. As a definite diagnosis of IPAS is difficult by a single examination, multiple techniques might be essential.
胰腺内副脾（IPAS）在放射学上很少被发现，因为传统图像的空间分辨率较低。胰腺组织中副脾的罕见存在可能导致诊断不当，因此需要一种治疗方法。本研究报告了此类病例，并总结了现有的影像学表现，以减少不必要的侵入性手术。
患者主诉为“半个月前发现胰腺肿物”。
最终通过病理诊断为IPAS。
腹腔镜保脾胰腺切除术。
术后病程平稳，患者于10天后出院。
当检测到无症状胰腺肿物时，不应排除IPAS的诊断，特别是如果病变具有与脾脏相同的影像学特征。由于单次检查难以明确诊断IPAS，多种技术可能必不可少。
