以胆结石为主要临床表现的HS误诊1例并文献复习

Misdiagnosis of HS with gallstone as the main clinical manifestation:a case and literature review

分析本院接收的1例前期误诊为胆石症的遗传性球形细胞增多症(HS)的病例资料。患者因“胆囊结石伴胆囊炎”行胆囊切除术后,双下肢无力进行性加重,小便呈红茶色,大便成白色陶土样变,半年内体重下降约5 kg,诊断为HS,随访6个月,目前病情稳定。

The clinical data of a case of hereditary spherocytosis(HS)misdiagnosed as cholelithiasis admitted in our hospital was analyzed.The patient was diagnosed as HS after cholecystectomy for"cholecystolithiasis with cholecystitis",the weakness of both lower limbs was aggravated,the urine was red brown,the stool became white clay-like,and the weight decreased by about 5 kg within half a year.He was followed up for 6 months,the patient's condition is stable at present.