Pancreatic tail splenunculus: Case report and review of the literature

INTRODUCTION: Mass lesions in the pancreatic tail are increasingly identified upon radiological imaging. However the diagnosis of these lesions can be challenging and impact significantly upon patient management. PRESENTATION OF CASE: We report a case of an intrapancreatic accessory spleen initially diagnosed as a neuroendocrine tumour of the pancreas tail following nuclear scintigraphy. DISCUSSION: The investigation of solitary pancreatic tail lesions and the potential management paradigms are discussed. CONCLUSION: Solitary lesions within the pancreatic tail should have splenunculus included in the differential diagnosis.