Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2022; 10(6): 1973-1980
Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1973
Cavernous hemangioma of an intrapancreatic accessory spleen mimicking a pancreatic tumor: A case report
Jia-Yan Huang, Rui Yang, Jia-Wu Li, Qiang Lu, Yan Luo
Jia-Yan Huang, Rui Yang, Jia-Wu Li, Qiang Lu, Yan Luo, Department of Medical Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Luo Y performed the contrast-enhanced ultrasound examination for the patient and proposed writing it up as a case report; Huang JY collected the clinical information of the patient, reviewed the literature and contributed to manuscript drafting; Yang R provided the pathological data and helped with creating the figures; Li JW contributed to revising the grammar of the manuscript; Luo Y and Lu Q were responsible for the revision of the manuscript for important intellectual content; all of the authors issued final approval for this version of the manuscript to be submitted.
Supported by the National Natural Science Foundation of China, No. 81571697.
Informed consent statement: Informed consent was obtained from the patient for the publication of any potentially identifiable images or data included in this article.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan Luo, MD, Full Professor, Department of Medical Ultrasound, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, Sichuan Province, China. luoyan15957@126.com
Received: August 25, 2021
Peer-review started: August 25, 2021
First decision: October 27, 2021
Revised: November 2, 2021
Accepted: January 11, 2022
Article in press: January 11, 2022
Published online: February 26, 2022
Core Tip

Core Tip: Intrapancreatic accessory spleen (IPAS) is an uncommon condition; however, overlapping imaging manifestations of IPAS and pancreatic tumors may lead to unnecessary surgery. Cystic splenic cavernous hemangioma is a rare disorder, whereas lesions with a cystic appearance arising from IPAS have not been reported. Herein, we report a cavernous hemangioma in the IPAS that was misdiagnosed as being a pancreatic cystadenoma via contrast-enhanced modalities. The diagnosis of cystic lesions in IPAS can be challenging. Imaging follow-ups or surgical interventions may be needed for the possible malignancy risk of a complicated cystic lesion, especially those with parietal and septal enhancements.