Splenule

Case contributed by Dr Jayanth Keshavamurthy

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
CT

There is a 2 cm nodule adjacent to the tail of the pancreas which enhances like the spleen.

Recommend sulfur colloid scan for confirmation.

Nuclear medicine

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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Case information

rID: 71553
Published: 11th Oct 2019
Last edited: 15th Oct 2019
Inclusion in quiz mode: Included
Institution: Augusta University

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