Neufeld Ethan A, Sekhon Simran, Gerscovich Eugenio O
Department of Radiology, University of California Davis, Sacramento, CA, USA.
Ultrasound. 2017 Aug;25(3):173-176. doi: 10.1177/1742271X17697752. Epub 2017 Mar 9.
We present the case of a young woman found to have an exophytic solid renal mass who was referred to our institution for ablation of said mass versus partial nephrectomy. The patient had a history of splenectomy. Ultrasound demonstrated a homogeneous solid left renal mass, and the diagnosis of intra-renal splenosis was considered based on the patient's history. The diagnosis was confirmed using Tc-99 m heat-damaged red blood cell scintigraphy, obviating the need for an invasive procedure. The diagnosis of intra-renal splenosis should be considered for a solid renal mass with an appropriate history of prior splenic trauma or splenectomy.
我们报告了一例年轻女性病例，该患者被发现有一个外生性实性肾肿物，被转诊至我院以考虑对该肿物进行消融或部分肾切除术。患者有脾切除术史。超声显示左肾有一个均匀的实性肿物，基于患者的病史考虑为肾内脾组织植入。通过99m锝热损伤红细胞闪烁扫描术确诊，从而避免了侵入性检查。对于有适当的既往脾外伤或脾切除术病史的实性肾肿物，应考虑肾内脾组织植入的诊断。
