| Autor: |
Tuan Linh, Le, Tra My, Thieu-Thi, Van Lenh, Bui, Giang, Tran-Van, Viet Bang, Luong, Duc, Nguyen Minh |
| Zdroj: |
International Journal of Surgery Case Reports; Jan2021, Vol. 78, p214-218, 5p |
| Abstrakt: |
• Enlarged accessory spleens are often misdiagnosed as neoplasms. • Imaging features and histopathology of accessory and normal spleens are similar. • Accessory spleen should be considered in differential diagnosis of abdominal tumors. An accessory spleen (AS), a common condition, is usually located in the hilar region of the spleen. ASs are not often large; however, after splenectomy, the initially inactive AS may become reactive and hypertrophic. Therefore, an AS can be misdiagnosed as a neoplastic tumor and removed unnecessarily. An undiagnosed abdominal mass located in the spleen site in a patient who has had a splenectomy must be managed carefully. Computed tomography (CT) scanning and magnetic resonance imaging (MRI) may provide useful information for the diagnosis, preventing unnecessary surgery. Herein, we report the case of a 38-year-old female with an enlargement of AS after splenectomy that was misdiagnosed as a primary tumor of the pancreas and managed by a nonessential surgery. An AS should be added to the differential diagnosis of a pancreatic tail tumor for patients with prior splenectomy in order to avoid nonessential surgery to ensure the patient's safety. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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