A spontaneous hematoma arising within an intrapancreatic accessory spleen A case report and literature review

被引：3
作者：
Shan, Guo-Dong [1 ]
Chen, Wen-Guo [1 ]
Hu, Feng-Ling [1 ]
Chen, Li-Hua [1 ]
Yu, Jing-Hua [1 ]
Zhu, Hua-Tuo [1 ]
Gao, Qi-Qi [2 ]
Xu, Guo-Qiang [1 ]
机构：
[1] Zhejiang Univ, Affiliated Hosp 1, Coll Med, Dept Gastroenterol, Hangzhou 310003, Zhejiang, Peoples R China
[2] Zhejiang Univ, Affiliated Hosp 1, Coll Med, Dept Pathol, Hangzhou, Zhejiang, Peoples R China
来源：
MEDICINE | 2017年 / 96卷 / 41期
关键词：
accessory spleen; CT; hematoma; intrapancreatic; MRI; EPIDERMOID CYST; PANCREAS;
D O I：
10.1097/MD.0000000000008092
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Rational: Hematoma arising within an intrapancreatic accessory spleen (IPAS) is an extremely rare pathological entity. Patient concern: We present the case of a 39-year-old man with acute abdominal pain. Diagnoses: The patient was initially diagnosed as pancreatic cystic neoplasm according to CT and MRI imaging. Interventions: Distal pancreatectomy was conducted because of the possibility of malignancy. Outcomes: Surgical resection showed that the lesion was a hematoma in an IPAS. Lessons: Our case indicated that the differential diagnosis of hematoma in IPAS should be born in mind for cases with cystic neoplasm in tail of pancreas and an epidermoid cyst arising within an intrapancreatic accessory spleen (ECIAS).
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页数：4
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