Abstract
BackgroundSplenopancreatic fusion is a rare anomaly that is often associated with trisomy 13. Its diagnosis can be important in patients scheduled to undergo distal pancreatectomy or splenectomy, to avoid possible intraoperative or postoperative complications.Case presentationAn 82-year-old Japanese man was referred to our hospital for further evaluation and treatment for a solitary hepatocellular carcinoma based on liver cirrhosis. Triple-phase contrast-enhanced multidetector-row computed tomography and magnetic resonance imaging showed a splenopancreatic fusion as well as a solitary hepatocellular carcinoma in segment VIII of his liver.ConclusionsFusion of the pancreatic tail and spleen is a rare and asymptomatic anomaly. Its detection can be improved by the use of multidetector computed tomography or magnetic resonance imaging.
Highlights
Splenopancreatic fusion is a rare anomaly that is often associated with trisomy 13
Its detection can be improved by the use of multidetector computed tomography or magnetic resonance imaging
Other splenopancreatic field abnormalities reported in the English language literature include ectopic pancreatic tissue in the spleen or accessory spleen, ectopic splenic tissue in the pancreas, as well fusion of the pancreatic tail and splenic hilum or accessory spleen [1,2,3,4]
Summary
Splenopancreatic fusion is an uncommon, asymptomatic congenital abnormality, but the use of MDCT or MRI may increase the rate of its detection. Abbreviations 3P-CE-MDCT: Triple-phase contrast-enhanced multidetector-row computed tomography; CT: Computed tomography; HCC: Hepatocellular carcinoma; MDCT: Multidetector-row computed tomography; MRI: Magnetic resonance imaging; T1WI: T1-weighted images; T2WI: T2-weighted images
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