Epidermoid cyst in an intrapancreatic accessory spleen in the pancreas head: a case report.

Abstract

BACKGROUND:

An epidermoid cyst in an intrapancreatic accessory spleen (ECIPAS) in the pancreas head is an extremely rare condition. The natural course of this condition is not well known, and it is difficult to diagnose before surgery due to the lack of specific imaging findings.

CASE PRESENTATION:

A tumor was found in the head of the pancreas in a 68-year-old man with abdominal distension and discomfort. Magnetic resonance imaging (MRI) suggested a malignant tumor, such as a colloid cancer. The tumor was removed surgically, with pathologic examination showing that it was an ECIPAS.

CONCLUSION:

ECIPAS cannot be easily distinguished from other pancreatic cystic tumors, making it necessary to include ECIPAS in the differential diagnosis of these tumors. Unnecessary surgical resection may be avoided by more accurate preoperative diagnosis based on clinical and imaging characteristics.

• Authors: Hyo Jung Ko, Jae Ryong Shim, Tae Beom Lee, Byung Hyun Choi, Jung-Hee Lee, Je Ho Ryu, Kwangho Yang
• Journal: BMC gastroenterology (BMC Gastroenterol) Vol. 20 Issue 1 Pg. 392 (Nov 20 2020) ISSN: 1471-230X [Electronic] England
• PMID: 33218300 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Diagnosis, Differential
• Epidermal Cyst (diagnostic imaging, surgery)
• Humans
• Male
• Pancreas (diagnostic imaging)
• Pancreatic Diseases (diagnostic imaging, surgery)
• Splenic Diseases