The treatment modality can range from 'no treatment required' to major surgeries and thus it becomes imperative to diagnose an accessory spleen
even if it is done only with an intention to rule out grave pathology.
Splenules, or accessory spleens
, are congenital foci of normal splenic tissue that are separate from the main body of the spleen.
These morphologic and immunostaining features were indicative of the presence of an epidermoid cyst arising within an intrapancreatic accessory spleen
No ultrasonographic differences exist between the accessory spleen
and normal testis.
Ultrasound usually shows an accessory spleen
as a round, mildly echogenic mass with homogenous texture and posterior enhancement .
2 Some of these challenges are lack of tactile feedback,10 difficult assessment of accessory spleens
,10,11 use of harmonic scalpel and endostapler10 and laparoscopic control of bleeding, and finally the removal of spleen.
4) Also, two patients had the accessory spleen
close to the hilum of the spleen and one had two accessory spleens
In doing so, we touched upon issues such as bleeding, conversion, splenomegaly, splenic retrieval techniques, types of instruments, hand-assisted laparoscopic splenectomy (HALS), complications, approaches, accessory spleen
Additionally, the prevalence of accessory spleen
detected by US was calculated.
The inherent differences between an accessory spleen
and splenosis are quite distinct and can help differentiate between these two conditions.
Histological analysis concluded that the lesion was an intrapancreatic accessory spleen
3-5) The splenic hilus is the most common site of an accessory spleen
followed by pancreatic tail.
After confirming correct placement of the needle into the mass and the similarity of signal intensity between the mass and the spleen, a preliminary diagnosis of intrapancreatic accessory spleen
(IPAS) was rendered.
The differential diagnoses for pancreatic arteriovenous malformation are neuroendocrine tumors, hypervascular metastases, and intrapancreatic accessory spleen
A liver-spleen scan showed an accessory spleen
, and distal pancreatectomy with resection of the accessory spleen
was done at that time.