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Image of the Month—Diagnosis
Arch Surg. 2008;143(2):206.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Answer: Ectopic Spleen in the Pancreatic Tail
Accessory or ectopic spleen is present in at least 10% of the population and is most commonly (in 16% of cases) located near or in the tail of the pancreas.1 The size may range from a few millimeters to several centimeters and may enlarge after splenectomy.2 In splenosis after trauma, the implantation of splenic tissue may occur anywhere in the abdomen, pelvis, or chest.3 Most patients are asymptomatic, and the pancreatic tumor is usually discovered incidentally during an imaging workup for other reasons.4
The identification of an accessory spleen is important because it may mimic lymphadenopathy or a tumor in the pancreas, adrenal gland, or kidney.2, 5 In addition, it can occasionally cause symptoms due to torsion, hemorrhage, spontaneous rupture, or cyst formation.3, 6 Furthermore, for a surgeon intending to remove all of the functional splenic tissue, the presence of accessory or ectopic splenic tissue should be confirmed before the surgery to . . . [Full Text of this Article]
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Arch Surg. 2008;143(2):205.
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