Published online Nov 28, 2013. doi: 10.5412/wjsp.v3.i3.54
Revised: August 14, 2013
Accepted: September 3, 2013
Published online: November 28, 2013
Core tip: Epidermoid cyst of intrapancreatic accessory spleen (ECIAS) is extremely rare and an accurate preoperative diagnosis is almost never made. In this article, a case diagnosed with fluorodeoxyglucose positron emission tomography scanning is presented; it is also the first case from China. A literature review of the clinical characteristics of ECIAS is also given. We suggest that open or laparoscopic spleen preserving distal pancreatectomy is the minimally invasive procedure that would provide the best surgical management for ESIAS.