Toutziaris Ch, Kampantais S, Christopoulos P, Papaziogas B, Vakalopoulos I
First Department of Urology.
Second Surgical Department, Aristotle University Medical School, Τhessaloniki, Greece.
Hippokratia. 2013 Apr;17(2):185-6.
We report a case of an accessory spleen in close relation to the upper pole of the left kidney, mimicking a retroperitoneal tumor. A 58-year-old asymptomatic woman was admitted to our department for the management of a retroperitoneal mass, when the structure was incidentally discovered by ultrasound scan. The patient reported having a splenectomy at a young age, due to echinococcal disease. The computed tomography and magnetic resonance imaging confirmed the presence of a solid retroperitoneal tumor (5 cm in diameter) in the lateral aspect of the left kidney. To rule out the presence of a malignant tumor, surgical exploration was performed. The macroscopic examination of the specimen revealed a well-circumscribed encapsulated mass, which appeared to have the typical features of splenic tissue. Histology confirmed that the mass was actually an accessory spleen. The retroperitoneal accessory spleen is a rare clinical entity. However, it should always be considered, when investigating a retroperitoneal mass, especially in patients who have had previous splenectomy.
我们报告一例副脾与左肾上极关系密切，酷似腹膜后肿瘤。一名58岁无症状女性因腹膜后肿块入院治疗，超声扫描偶然发现该结构。患者自述年轻时因棘球蚴病行脾切除术。计算机断层扫描和磁共振成像证实左肾外侧存在一个实性腹膜后肿瘤（直径5厘米）。为排除恶性肿瘤，进行了手术探查。标本的宏观检查显示为一个边界清楚的包膜肿块，似乎具有脾组织的典型特征。组织学证实该肿块实际上是一个副脾。腹膜后副脾是一种罕见的临床实体。然而，在检查腹膜后肿块时，尤其是既往有脾切除术的患者，应始终考虑到这种情况。
