Öz
Accessory spleens are present in 10% of population and are formed during embryonic development. When an accessory spleen is located in the pancreas, it may mimic a hypervascular pancreatic tumor and can make a diagnostic difficulty. Most of the cases were identified only after surgical resection. Herein, we present the case of a 52-year old man whom laparoscopic spleenpreserving distal pancreatectomy was performed with suspicion of neuroendocrine tumor. Postoperative histopathological examination revealed the intrapancreatic accessory spleen.
Anahtar Kelimeler
Accessory spleen neuroendocrine tumour laparoscopy distal pancreatectomy
Kaynakça
- Zeman M, Zembala-Nożyńska E, Sczasny J, Strączyński M, Wideł M. Intrapancreatic accessory spleen imitating a pancreatic neoplasm. Pol Przegl Chir 2011; 83: 568-70.
- Chin S, Isomoto H, Mizuta Y, Wen CY, Shikuwa S, Kohno S.Enlarged accessory spleen presenting stomach submucosal tumor. World J Gastroenterol 2007; 13: 1752Halpert B, Gyorkey F. Lesions observed in accessory spleens of 311 patients. Am J Clin Pathol 1959; 32: 165-8.
- Sothilingam N, Leedahl T, Kriegler S, Kanthan R, Moser MA. Intrapancreatic accessory spleen: A case report and review of the literature. Int J Surg Case Rep 2011; 2: 128-30.
- Touré L, Bédard J, Sawan B, Mosimann F. Case note: intrapancreatic accessory spleen mimicking a pancreatic endocrine tumour. Can J Surg 2010; 53: E1-2. Guo W, Han W, Liu J, Jin L, Li JS, Zhang ZT, Wang Y. Intrapancreatic accessory spleen: a case report and review of the literature. World J Gastroenterol 2009; 15: 1141-3.
- Kurmann A, Michel JM, Stauffer E, Egger B. Intrapancreatic Accessory Spleen Misdiagnosed as a Nonsecreting Endocrine Tumor: Case Report and Review of the Literature. Case Rep Gastroenterol 2010; 4: 210-4.
- Brasca LE, Zanello A, De Gaspari A, De Cobelli F, Zerbi A, Fazio F, Del Maschio A. Intrapancreatic accessory spleen mimicking a neuroendocrine tumor: magnetic resonance findings and possible diagnostic role of different nuclear medicine tests. Eur Radiol 2004; 14: 1322-3.
- Sica GT, Reed MF. Case 27: intrapancreatic accessory spleen. Radiology 2000; 217: 134-7.
- Ota T, Ono S. Intrapancreatic accessory spleen: diagnosis using contrast enhanced ultrasound. Br J Radiol 2004; 77: 148-9.
- Lin J, Jing X. Fine-needle aspiration of intrapancreatic accessory spleen, mimic of pancreatic neoplasms. Arch Pathol Lab Med 2010; 134: 1474-8.
- Warshaw AL. Distal pancreatectomy with preservation of the spleen. J Hepatobiliary Pancreat Sci 2010; 17: 808-12.
- Venkat R, Edil BH, Schulick RD, Lidor AO, Makary MA, Wolfgang CL. Laparoscopic distal pancreatectomy is associated with significantly less overall morbidity compared to the open technique: a systematic review and metaanalysis. Ann Surg 2012; 255: 1048-59.
- Choi SH, Seo MA, Hwang HK, Kang CM, Lee WJ. Is it worthwhile to preserve adult spleen in laparoscopic distal pancreatectomy? Perioperative and patientreported outcome analysis. Surg Endosc 2012 (DOI: 10.1007/s00464-012-23064).
Öz
Özet
Aksesuar dalak toplumun yaklaşık %10’unda görülen ve embriyolojik gelişim sırasında oluşan bir anomalidir. Pankreasta lokalize olduğunda hipervasküler pankreatik tümörü taklit edebilir ve tanısal güçlüğe neden olabilir. Vakaların çoğu cerrahi rezeksiyondan sonra tanımlanır. Bu yazımızda nöroendokrin tümör şüphesiyle laparoskopik dalak koruyucu distal pankreatektomi yapılan 52 yaşındaki bir erkek olguyu sunuyoruz. Postoperatif histopatolojik inceleme ile lezyonun intrapankreatik aksesuar dalak olduğu açığa çıktı.
Anahtar sözcükler: Aksesuar dalak, nöroendokrin tümör, laparoskopi, distal pankreatektomi
Abstract
Accessory spleens are present in 10% of population and are formed during embryonic development. When an accessory spleen is located in the pancreas, it may mimic a hypervascular pancreatic tumor and can make a diagnostic difficulty. Most of the cases were identified only after surgical resection. Herein, we present the case of a 52-year old man whom laparoscopic spleen-preserving distal pancreatectomy was performed with suspicion of neuroendocrine tumor. Postoperative histopathological examination revealed the intrapancreatic accessory spleen.
Keywords: Accessory spleen, neuroendocrine tumour, laparoscopy, distal pancreatectomyAnahtar Kelimeler
Aksesuar dalak nöroendokrin tümör laparoskopi distal pankreatektomi
Kaynakça
- Zeman M, Zembala-Nożyńska E, Sczasny J, Strączyński M, Wideł M. Intrapancreatic accessory spleen imitating a pancreatic neoplasm. Pol Przegl Chir 2011; 83: 568-70.
- Chin S, Isomoto H, Mizuta Y, Wen CY, Shikuwa S, Kohno S.Enlarged accessory spleen presenting stomach submucosal tumor. World J Gastroenterol 2007; 13: 1752Halpert B, Gyorkey F. Lesions observed in accessory spleens of 311 patients. Am J Clin Pathol 1959; 32: 165-8.
- Sothilingam N, Leedahl T, Kriegler S, Kanthan R, Moser MA. Intrapancreatic accessory spleen: A case report and review of the literature. Int J Surg Case Rep 2011; 2: 128-30.
- Touré L, Bédard J, Sawan B, Mosimann F. Case note: intrapancreatic accessory spleen mimicking a pancreatic endocrine tumour. Can J Surg 2010; 53: E1-2. Guo W, Han W, Liu J, Jin L, Li JS, Zhang ZT, Wang Y. Intrapancreatic accessory spleen: a case report and review of the literature. World J Gastroenterol 2009; 15: 1141-3.
- Kurmann A, Michel JM, Stauffer E, Egger B. Intrapancreatic Accessory Spleen Misdiagnosed as a Nonsecreting Endocrine Tumor: Case Report and Review of the Literature. Case Rep Gastroenterol 2010; 4: 210-4.
- Brasca LE, Zanello A, De Gaspari A, De Cobelli F, Zerbi A, Fazio F, Del Maschio A. Intrapancreatic accessory spleen mimicking a neuroendocrine tumor: magnetic resonance findings and possible diagnostic role of different nuclear medicine tests. Eur Radiol 2004; 14: 1322-3.
- Sica GT, Reed MF. Case 27: intrapancreatic accessory spleen. Radiology 2000; 217: 134-7.
- Ota T, Ono S. Intrapancreatic accessory spleen: diagnosis using contrast enhanced ultrasound. Br J Radiol 2004; 77: 148-9.
- Lin J, Jing X. Fine-needle aspiration of intrapancreatic accessory spleen, mimic of pancreatic neoplasms. Arch Pathol Lab Med 2010; 134: 1474-8.
- Warshaw AL. Distal pancreatectomy with preservation of the spleen. J Hepatobiliary Pancreat Sci 2010; 17: 808-12.
- Venkat R, Edil BH, Schulick RD, Lidor AO, Makary MA, Wolfgang CL. Laparoscopic distal pancreatectomy is associated with significantly less overall morbidity compared to the open technique: a systematic review and metaanalysis. Ann Surg 2012; 255: 1048-59.
- Choi SH, Seo MA, Hwang HK, Kang CM, Lee WJ. Is it worthwhile to preserve adult spleen in laparoscopic distal pancreatectomy? Perioperative and patientreported outcome analysis. Surg Endosc 2012 (DOI: 10.1007/s00464-012-23064).
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Eylül 2013 |
| Yayımlandığı Sayı | Yıl 2013Cilt: 35 Sayı: 3 |