Abstract

Abstract Intrapancreatic accessory spleen (IPAS) is a rare differential diagnosis of a solitary hypervascular lesion. It is not uncommon to misdiagnose IPAS as pancreatic tumors particularly pancreatic neuroendocrine neoplasm since no specific imaging has been developed for the differential diagnosis. We described a rare case of a male patient with a unilateral accessory nipple and a solitary hypervascular lesion in the pancreas. The patient underwent a distal pancreaticosplenectomy, and IPAS was finally diagnosed. An accessory nipple has limited clinical value. Nevertheless, it may suggest a congenital anomaly in the body and may be associated with other inherited diseases. The case indicates that IPAS should be considered in an individual with accessory organs if he or she is diagnosed with a solitary hypervascular lesion in the pancreas.

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