%0 Case Reports
%T Enlarged accessory spleen after splenectomy mimicking a pancreas tumor.
%A Tuan Linh L
%A Tra My TT
%A Van Lenh B
%A Giang TV
%A Viet Bang L
%A Duc NM
%J Int J Surg Case Rep
%V 78
%N 0
%D Jan 2021
%M 33360633
暂无%R 10.1016/j.ijscr.2020.12.037
%X <B>BACKGROUND: </B>An accessory spleen (AS), a common condition, is usually located in the hilar region of the spleen. ASs are not often large; however, after splenectomy, the initially inactive AS may become reactive and hypertrophic. Therefore, an AS can be misdiagnosed as a neoplastic tumor and removed unnecessarily. An undiagnosed abdominal mass located in the spleen site in a patient who has had a splenectomy must be managed carefully. Computed tomography (CT) scanning and magnetic resonance imaging (MRI) may provide useful information for the diagnosis, preventing unnecessary surgery.<BR><B>METHODS: </B>Herein, we report the case of a 38-year-old female with an enlargement of AS after splenectomy that was misdiagnosed as a primary tumor of the pancreas and managed by a nonessential surgery.<BR><B>CONCLUSIONS: </B>An AS should be added to the differential diagnosis of a pancreatic tail tumor for patients with prior splenectomy in order to avoid nonessential surgery to ensure the patient's safety.