副脾误诊为左侧肾上腺肿瘤二例报告并经验总结

Accessory spleen misdiagnosed as left adrenal neoplasms and summary of experience

目的探讨肾上腺区副脾的临床特点和相关治疗经验,提高肾上腺区肿物的鉴别诊断能力。方法回顾性分析中国医科大学附属第一医院泌尿外科2013年至2019年收集的2例左侧肾上腺区副脾误诊为左侧肾上腺肿瘤的患者临床资料,回顾患者术前肾上腺增强CT及超声等检查及检验。结果2例患者均为肾上腺区副脾,均为术前考虑为左侧肾上腺区皮质腺瘤患者,腹腔镜手术过程中发现为肾上腺区副脾。术中均未行脾脏切除术。结论左侧肾上腺区副脾是一种较为罕见的病例,通过术前对患者肾上腺增强CT及相关临床特点进行分析,可以减少误诊的可能性。

Objective To discuss the clinical feature and summary experience of accessory spleen in adrenal gland,to elevate differential diagnosis level.Methods Retrorespective reviewed clinical data of the patients which including ultrasound,enhanced CT,and other results of No.1 affilated hospital of China Medical University who were misdiagnosed as left adrenal neoplasm,but actually were accessory spleen.Results Both of the 2 cases were finally diagnosed as left adrenal area accessory spleen,both of their accessory spleen were preserved during the operation.Conclusions Accessory spleen are rare cases.Combining the feature of enhanced CT and other clinical resources which can help us to reduce the misdiagnosis opportunity.