Splenic Mass and Isolated Gastric Varices: A Rare Presentation of a Neuroendocrine Tumor of the Pancreas

Authors

  • Sneha A Shah Department of Pathology, TN Medical College and BYL Nair Ch Hospital. Mumbai, India
  • Anjali D Amarapurkar Department of Pathology, TN Medical College and BYL Nair Ch Hospital. Mumbai, India
  • Sudesh R Prabhu Department of Surgery, TN Medical College and BYL Nair Ch Hospital. Mumbai, India
  • Vineet Kumar Department of Surgery, TN Medical College and BYL Nair Ch Hospital. Mumbai, India
  • Gautam K Gangurde Department of Surgery, TN Medical College and BYL Nair Ch Hospital. Mumbai, India
  • Rajeev M Joshi Department of Surgery, TN Medical College and BYL Nair Ch Hospital. Mumbai, India

DOI:

https://doi.org/10.6092/1590-8577/3431

Keywords:

Chromogranin A, Esophageal and Gastric Varices, Hypertension, Portal, Neuroendocrine Tumors, Splenic Neoplasms

Abstract

Context Splenic involvement in neuroendocrine pancreatic tumors is well known but rarely presents as a primary splenic mass. Case report A rare case of a neuroendocrine tumor involving the tail of the pancreas, splenic hilum and splenic flexure of the colon, forming a conglomerate mass and presenting as isolated gastric varices is described. A 75-year-old male presented with hematemesis and melena. Esophagogastroduodenoscopy revealed isolated gastric varices. A CT scan revealed a mass predominantly involving the spleen and a small part of the pancreas. Conclusion A splenic mass with isolated gastric varices should be kept in mind as one of the presentations of a pancreatic neuroendocrine tumor.

Image: Microscopy section from the spleen showing the neuroendocrine tumor.

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References

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Microscopy section from the spleen showing the neuroendocrine tumor

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Published

2010-09-06

How to Cite

Shah, S. A., Amarapurkar, A. D., Prabhu, S. R., Kumar, V., Gangurde, G. K., & Joshi, R. M. (2010). Splenic Mass and Isolated Gastric Varices: A Rare Presentation of a Neuroendocrine Tumor of the Pancreas. JOP. Journal of the Pancreas, 11(5), 444–445. https://doi.org/10.6092/1590-8577/3431

Issue

Vol. 11 No. 5 (2010): September - p. 423-497

Section

CASE REPORTS

License

As a member of Publisher International Linking Association, PILA, iMedPub Group’s JOP follows the Creative Commons Attribution License and Scholars Open Access publishing policies. Journal of the Pancreas is the Council Contributor Member of Council of Science Editors (CSE) and following the CSE slogan Education, Ethics, and Evidence for Editors.