INTRAPANCREATIC ACCESSORY SPLEEN: DIAGNOSTIC CHALLENGE AND REVIEW OF DATA FROM THE SPECIALTY LITERATURE

Authors

  • Claudia Cristina TARNICERIU “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania
  • C.I. STAN “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania
  • Daniela Maria TANASE “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania
  • V. POROCH Regional Institute of Oncology Iasi
  • Anca Raluca VRANCEANU Regional Institute of Oncology Iasi
  • Cipriana STEFANESCU “Sf. Spiridon” County Clinical Emergency Hospital Iași
  • A. NEDELCU “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania

Keywords:

INTRAPANCREATIC ACCESSORY SPLEEN, PANCREATIC TUMOURS

Abstract

INTRAPANCREATIC ACCESSORY SPLEEN: DIAGNOSTIC CHALLENGE AND REVIEW OF DATA FROM THE SPECIALTY LITERATURE (Abstract): Intrapancreatic accessory spleen is a diagnostic challenge requiring a differential diagnosis with retroperitoneal tumor, neuroendocrine pancreatic tumor, pancreas adenocarcinoma. We present a rare case of intrapancreatic accessory spleen, which was radiologically diagnosed as a pancreatic tumor. This is a 37-year-old female patient who showed fluctuating values ​​of CA19-9 tumor marker. Initially, the endoscopic examination of the digestive tract (upper digestive endoscopy, colonoscopy) was performed, excluding the presence of a proliferative process at this level. In order to investigate the small intestine and other abdominal-pelvic organs we performed the abdomen-pelvic CT examination and the MRI examination. Hepatosplenic scintigram was performed to complete the investigations. The intrapancreatic accessory spleen should be considered as a differential diagnosis for pancreatic tumors. Complex paraclinical investigations (EDS, Colonoscopy, CT, MRI, Scintigraphy) can help diagnose and prevent surgical procedures that are not absolutely necessary.

Author Biographies

  • Claudia Cristina TARNICERIU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania

    Faculty of Medicine
    Department of Morpho-Functional Sciences (I)

  • C.I. STAN, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania

    Faculty of Medicine
    Department of Morpho-Functional Sciences (I)

  • Daniela Maria TANASE, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania

    Faculty of Medicine
    Department of Medical Specialties (I)

  • Cipriana STEFANESCU, “Sf. Spiridon” County Clinical Emergency Hospital Iași

    Nuclear Medicine Laboratory

  • A. NEDELCU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania

    Faculty of Medicine
    Department of Morpho-Functional Sciences (I)

References

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Additional Files

Published

2019-03-29

Issue

Vol. 123 No. 1 (2019): The Medical-Surgical Journal

Section

SURGERY

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