Littoral cell angioma in main and accessory intrapancreatic spleen presenting as splenic rupture.

Abstract

We report the incidental finding of a nodular mass in the pancreatic tail on a contrast-enhanced computed tomography scan preinterventional to emergency laparotomy for splenic rupture. Because of the past surgical history and radiologic appearance, differential diagnosis included atypical lymphoma in the spleen and regional lymph node, pancreatic adenocarcinoma with splenic metastasis, and intrapancreatic metastase of malignant melanoma; the patient underwent both splenectomy and pancreatic tail resection. A diagnosis of littoral cell angioma in main and accessory intrapancreatic spleen was made. To our knowledge, this is the first description of littoral cell angioma of the spleen involving both main and accessory organ presenting as splenic rupture.

• Authors: Julia B Pilz, Toralf Sperschneider, Thomas Lutz, Bruno Loosli, Christoph A Maurer
• Journal: American journal of surgery (Am J Surg) Vol. 201 Issue 2 Pg. e15-7 (Feb 2011) ISSN: 1879-1883 [Electronic] United States
• PMID: 20409532 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2011 Elsevier Inc. All rights reserved.

Topics

• Aged
• Choristoma (complications, diagnosis, diagnostic imaging)
• Diagnosis, Differential
• Emergencies
• Hemangioma (complications, diagnosis, diagnostic imaging, surgery)
• Humans
• Incidental Findings
• Male
• Pancreatectomy
• Pancreatic Diseases (complications, diagnosis, diagnostic imaging, pathology, surgery)
• Splenectomy
• Splenic Neoplasms (complications, diagnosis, diagnostic imaging, surgery)
• Splenic Rupture (etiology)
• Tomography, X-Ray Computed