胰腺内副脾自发性血肿：一例报告并文献复习
A spontaneous hematoma arising within an intrapancreatic accessory spleen: A case report and literature review.
作者信息
Shan Guo-Dong, Chen Wen-Guo, Hu Feng-Ling, Chen Li-Hua, Yu Jing-Hua, Zhu Hua-Tuo, Gao Qi-Qi, Xu Guo-Qiang
机构信息
Department of Gastroenterology Department of Pathology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
出版信息
Medicine (Baltimore). 2017 Oct;96(41):e8092. doi: 10.1097/MD.0000000000008092.
RATIONAL
Hematoma arising within an intrapancreatic accessory spleen (IPAS) is an extremely rare pathological entity.
PATIENT CONCERN
We present the case of a 39-year-old man with acute abdominal pain.
DIAGNOSES
The patient was initially diagnosed as pancreatic cystic neoplasm according to CT and MRI imaging.
INTERVENTIONS
Distal pancreatectomy was conducted because of the possibility of malignancy.
OUTCOMES
Surgical resection showed that the lesion was a hematoma in an IPAS.
LESSONS
Our case indicated that the differential diagnosis of hematoma in IPAS should be born in mind for cases with cystic neoplasm in tail of pancreas and an epidermoid cyst arising within an intrapancreatic accessory spleen (ECIAS).
原理
胰内副脾（IPAS）内出现血肿是一种极其罕见的病理实体。
患者情况
我们报告一例39岁急性腹痛男性患者的病例。
诊断
根据CT和MRI成像，患者最初被诊断为胰腺囊性肿瘤。
干预措施
由于存在恶性可能性，实施了远端胰腺切除术。
结果
手术切除显示病变为IPAS内的血肿。
经验教训
我们的病例表明，对于胰腺尾部囊性肿瘤以及胰内副脾内表皮样囊肿（ECIAS）的病例，应考虑IPAS内血肿的鉴别诊断。
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