EURORAD ESR

Case 10405

Intrapancreatic accessory spleen causing mass: A case report and review of the literature

Author(s)
Pereira Barreiro, David 1 ; Orihuela Palomino, Amelia 1 ; Álvarez Álvarez, Carlos 2 Verdini Montemuíño, Rut Virginia 1 ; San Luis González, Ángel 1 ;
1 Servicio de Radiodiagnóstico.
2 Servicio de Anatomía patológica.

C.H. Pontevedra, SERGAS, Radiodiagnostico
doctor loureiro crespo 2
36001 Pontevedra
Spain
Email:ameliadel83@hotmail.com
 
Patient
female, 48 year(s)
 
 
  • Figure 1
    Axial CT scan during hepatic arterial phase.

    A well-defined nodule of 1.6 centimeters showed slight enhancement in the arterial phase.

     
    Area of Interest: Abdomen; Pancreas; Spleen; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Contrast agent-intravenous; Diagnostic procedure; Special Focus: Congenital; Endocrine disorders; Neoplasia;
     
     
  • Figure 2
    Curved sectional imaging. Arterial phase

    The nodule was located in the pancreatic tail, near the spleen hilum.

     
    Area of Interest: Abdomen; Pancreas; Spleen; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Contrast agent-intravenous; Diagnostic procedure; Special Focus: Congenital; Tissue characterisation;
     
     
  • Figure 3
    Comparative

    Similar enhancement to the main body of the spleen in the different phases of the study

     
    Area of Interest: Abdomen; Pancreas; Spleen; Imaging Technique: CT; Procedure: Computer Applications-3D; Computer Applications-Detection, diagnosis; Contrast agent-intravenous; Special Focus: Endocrine disorders; Neoplasia; Tissue characterisation;
     
     
  • Figure 4
    Axial TC during portal vein phase.

    Partial wash out in portal phase.

     
    Area of Interest: Abdomen; Pancreas; Spleen; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Contrast agent-intravenous; Diagnostic procedure; Special Focus: Congenital; Neoplasia;
     
     
  • Figure 5
    Curved sectional imaging. Portal vein phase

    In this phase, the nodule becames similar to the nearby pancreatic tissue.

     
    Area of Interest: Abdomen; Pancreas; Spleen; Imaging Technique: CT; Procedure: Computer Applications-3D; Computer Applications-Detection, diagnosis; Contrast agent-oral; Special Focus: Neoplasia; Tissue characterisation;
     
     
A well-defined nodule of 1.6 centimeters showed slight enhancement in the arterial phase.
 
The nodule was located in the pancreatic tail, near the spleen hilum.
 
Similar enhancement to the main body of the spleen in the different phases of the study
 
Partial wash out in portal phase.
 
In this phase, the nodule becames similar to the nearby pancreatic tissue.
 
 
 
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