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

  • 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
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
Published
2010-09-06
How to Cite
ShahS., AmarapurkarA., PrabhuS., KumarV., GangurdeG., & JoshiR. (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