Figure 4:

Intraoperative findings during splenectomy by laparotomy/laparoscopic distal pancreatectomy and the gross specimen The mass discovered during the preoperative examination is not found by inspection or intraoperative ultrasonography during splenectomy (a, b). But the laparoscopic ultrasonograhy reveals the mass in the pancreatic tail and a laparoscopic distal pancreatectomy is done (c, d). The gross specimen reveals a tumor, circumscribed by pancreatic tissue; histological evaluation shows an accessory spleen (e).