Pitfall of the accessory spleen

J.P.J.E. Sels, R.M.M.E. Wouters, R.J.S. Lamers, B.H.R. Wolffenbuttel

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Abstract

Two patients, one with insulinoma and one with cushing’s syndrome, are presented. Biochemical evaluation readily suggested the correct diagnosis. During radiologic imaging, the anatomic abnormality giving rise to these diseases, i.e. A pancreatic islet cell tumor, and an adrenal adenoma, at first were mistakenly interpreted as an accessory spleen on the basis of specific computed tomography and magnetic resonance imaging appearances. The insulinoma was identified as such during laparotomy, whereas additional jodo-cholesterol scintigraphy revealed the real nature of the lesion in the patient with cushing’s syndrome. Both patients were operated successfully.
Original languageEnglish
Pages (from-to)153-158
Number of pages6
JournalNetherlands Journal of Medicine
Volume56
Issue number4
DOIs
Publication statusPublished - 1 Jan 2000

Cite this

Sels, J. P. J. E., Wouters, R. M. M. E., Lamers, R. J. S., & Wolffenbuttel, B. H. R. (2000). Pitfall of the accessory spleen. Netherlands Journal of Medicine, 56(4), 153-158. https://doi.org/10.1016/S0300-2977(00)00005-X