Presentation
An elderly with history of prostate cancer had a CT scan of abdomen and pelvis obtained for prostate cancer work up.
Patient Data
Age: 75 years
Gender: Male
From the case:
Splenule
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There is a 2 cm nodule adjacent to the tail of the pancreas which enhances like the spleen.
Recommend sulfur colloid scan for confirmation.
From the case:
Splenule
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Technetium-99m-labeled sulfur colloid scan confirms the splenule showing uptake similar in intensity to the spleen.
Case Discussion
On CT, splenules enhance similar to spleen. A sulfur colloid scan can help confirm the diagnosis of a benign intrapancreatic accessory spleen (splenule), especially in case such as this one where there is a know history of malignancy with concern for metastasis or disease recurrence.
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