Cowles Robert A, Lazar Eric L
Division of Pediatric Surgery, Department of Surgery, Columbia University College of Physicians and Surgeons and Morgan Stanley Children's Hospital of New York-Presbyterian, 3959 Broadway, CHN216B, New York, NY 10032, USA.
Am J Surg. 2007 Aug;194(2):225-6. doi: 10.1016/j.amjsurg.2006.11.023.
Accessory spleens are found most commonly at the splenic hilum, however, they rarely are symptomatic. An 18-year-old man presented with lower abdominal pain. Cross-sectional imaging studies with 3-dimensional reconstruction suggested the presence of a mass that was associated with the spleen. A nuclear medicine radioisotope scan confirmed that the mass was a pelvic accessory spleen. Laparoscopic excision was performed with excellent results. This accessory spleen was unusual in its size and location. Accessory spleens should be removed if symptomatic or if they are identified at splenectomy for hematologic disease.
副脾最常见于脾门处，然而，它们很少有症状。一名18岁男性因下腹部疼痛就诊。三维重建的横断面成像研究提示存在一个与脾脏相关的肿块。核医学放射性同位素扫描证实该肿块为盆腔副脾。进行了腹腔镜切除，效果良好。这个副脾在大小和位置上都不寻常。如果副脾有症状，或者在因血液系统疾病进行脾切除术时发现副脾，就应该将其切除。
