Accessory spleen in pancreatic tail
A 76-year-old male presented to his general practitioner with nausea, weight loss and change in bowel habit. A recent colonoscopy was unremarkable, a computed tomography (CT) abdomen and pelvis showed a homogenously enhancing 13-mm lesion in the tail of the pancreas, with the reported differentials including neuroendocrine tumour or a pancreatic adenocarcinoma. A subsequent magnetic resonance imaging (MRI) illustrated the lesion enhancing homogenously in the portal venous post-contrast phase suggesting a solid neoplastic lesion, likely to be primary (Fig. ). He went on to have a distal pancreatectomy and splenectomy with an uneventful recovery. Pathology revealed a splenunculus with no evidence of malignancy (Fig. ).