Presentation
AS presents 13 times more frequently in females than males, and the mean age is reported between 20 and 40 years [5] ; the present case agreeing with these statistics. [ncbi.nlm.nih.gov]
Definition / general Present in 20 - 33% of autopsies Usually small (up to 4 cm), resembles normal spleen macroscopically and microscopically Near splenic hilum, gastrosplenic ligament, tail of pancreas ( Pancreas 2011;40:956 ) Important to document or [pathologyoutlines.com]
Of these, 1.7% may present intrapancreatic localization. An accessory spleen located in the pancreas requires making a differential diagnosis with solid tumors of the tail of the pancreas. We report on a case treated by laparoscopic pancreatectomy. [scienceopen.com]
Entire Body System
- Splenectomy
Past and family histories were non-contributory and the patient did not smoke or consume alcohol and had undergone a splenectomy 20 years earlier. [ncbi.nlm.nih.gov]
"Accessory spleen arising from the gastric fundus mimicking gastrointestinal stromal tumor following splenectomy: A case report". Exp Ther Med. 7 (2): 349–351. doi : 10.3892/etm.2013.1415. PMC 3881060. [en.wikipedia.org]
Hematologists have long emphasized their occasional role in the reexacerbation of hematologic disease after initially beneficial splenectomy. 1-7 Accessory spleens have been known to rupture, 8 twist on their pedicles and strangulate, 5,6,9 cause bowel [jamanetwork.com]
Present in 20 - 33% of autopsies Usually small (up to 4 cm), resembles normal spleen macroscopically and microscopically Near splenic hilum, gastrosplenic ligament, tail of pancreas ( Pancreas 2011;40:956 ) Important to document or find in patients with splenectomy [pathologyoutlines.com]
- Lymphadenopathy
Similarly, accessory spleens may be differentiated from metastatic lesions or lymphadenopathy when they are enhanced to the same degree as the spleen ( 1 ). [ncbi.nlm.nih.gov]
Gastrointestinal
- Nausea
Nausea is the immediate side effect, but it subsides over the course of the day. The long-term side effect is bone and joint pain, which he treats with over the counter pain meds and hot showers. [montrealgazette.com]
CASE REPORT A 76-year-old male presented to his general practitioner with nausea, weight loss and change in bowel habit. [ncbi.nlm.nih.gov]
Workup
Further workup by appropriate radionuclide imaging can avoid surgical exploration or needling the patient. [ncbi.nlm.nih.gov]
Treatment
Consequently, it is important to accurately differentiate an accessory spleen from other pancreatic lesions requiring more aggressive treatment. [ncbi.nlm.nih.gov]
As a result of treatment, he developed gall stones and had his thyroid removed. The interaction between his thyroid mediation and cancer meds resulted is him developing Type 2 diabetes. [montrealgazette.com]
Prognosis
After the devastating prognosis in 2011, Partington was given further tests and put on the drug Imatinib which resulted in his tumour shrinking by 70 per cent. [montrealgazette.com]
Prevention
[…] pancreatic tail lesion could be an intrapancreatic accessory spleen, a high index of suspicion will lead to correlative imaging, and a combination of CT, magnetic resonance imaging (MRI) and nuclear medicine examinations can confirm the diagnosis and prevent [ncbi.nlm.nih.gov]