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  • Title: Giant Cyst of Intrapancreatic Accessory Spleen Mimicking a Malignant Cystic Neoplasm of the Pancreas: A Case Report.
    Author: Sun Y, Luo J, Huang F, Huang P, Yu R.
    Journal: Pancreas; ; 53(10):e830-e833. PubMed ID: 38904669.
    Abstract:
    INTRODUCTION: Epidermoid cyst in an intrapancreatic accessory spleen (ECIPAS) is an exceedingly rare pancreatic lesion that is always mistakenly suspected of malignancy preoperatively. CASE SUMMARY: A 25-year-old male patient incidentally found a giant mass in the left upper abdomen neighboring the hilum of the spleen. The patient denied any obvious discomfort. Except for a slightly elevated carbohydrate antigen 19-9 (CA-19-9, 43.5 U/mL), no abnormal laboratory test results were found. Contrast-enhanced computed tomography, conventional ultrasound, and magnetic resonance imaging were performed. The patient received a laparoscopic distal pancreatectomy. The final pathology showed ECIPAS. The postoperative course was uneventful and no signs of recurrence during 2 years of follow-up. DISCUSSION: For an incidental pancreatic cystic lesion, ECIPAS should be considered in the differential diagnosis. ECIPAS may mimic pancreatic cystadenoma. Imaging follow-up or surgical removal may be useful for the exclusion of malignant risks in ECIPAS.
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