Rıza Sarper ÖKTEN, Musa AKOĞLU, Erdal Birol BOSTANCI, Melih EREREN, Seda YAMAK, Mehmet Akif TÜRKOĞLU

Pankreatik endokrin tümörü taklit eden İntrapankreatik aksesuar dalak

Aksesuar dalak toplumun yaklaşık %10unda görülen ve embriyolojik gelişim sırasında oluşan biranomalidir. Pankreasta lokalize olduğunda hipervasküler pankreatik tümörü taklit edebilir vetanısal güçlüğe neden olabilir. Vakaların çoğu cerrahi rezeksiyondan sonra tanımlanır. Buyazımızda nöroendokrin tümör şüphesiyle laparoskopik dalak koruyucu distal pankreatektomiyapılan 52 yaşındaki bir erkek olguyu sunuyoruz. Postoperatif histopatolojik inceleme ile lezyonunintrapankreatik aksesuar dalak olduğu açığa çıktı.

Intrapancreatic accessory spleen imitating a pancreatic endocrine tumour

Accessory spleens are present in 10% of population and are formed during embryonicdevelopment. When an accessory spleen is located in the pancreas, it may mimic a hypervascularpancreatic tumor and can make a diagnostic difficulty. Most of the cases were identified only aftersurgical resection. Herein, we present the case of a 52-year old man whom laparoscopic spleen- preserving distal pancreatectomy was performed with suspicion of neuroendocrine tumor.Postoperative histopathological examination revealed the intrapancreatic accessory spleen.

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