Li Youjian, Qiu Xuefeng, Li Weijian, Guo Hongqian, Li Xiaogong
Department of Urology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
J Int Med Res. 2020 Feb;48(2):300060519875898. doi: 10.1177/0300060519875898. Epub 2019 Sep 24.
An accessory spleen refers to single or multiple splenic tissues that appear outside the normal spleen position and have structures and functions similar to those of a normal spleen. We herein present a rare case of a 31-year-old woman who was hospitalized because of a 14-year history of sudden left upper abdominal pain after running. Abdominal computed tomography suggested a large soft tissue mass at the left renal hilum surrounded by several enlarged lymph nodes, which was totally different from computed tomography scanning of normal accessory spleen. The mass was resected by robot-assisted laparoscopic surgery. Histopathological examination confirmed the diagnosis of accessory spleen. The incidence of retroperitoneal accessory spleen is very rare, which should be differentiated with retroperitoneal tumors.
副脾是指位于正常脾脏位置以外的单个或多个脾组织，其结构和功能与正常脾脏相似。我们在此报告一例罕见病例，一名31岁女性因跑步后突发左上腹疼痛14年而入院。腹部计算机断层扫描显示左肾门处有一个大的软组织肿块，周围有几个肿大的淋巴结，这与正常副脾的计算机断层扫描完全不同。该肿块通过机器人辅助腹腔镜手术切除。组织病理学检查确诊为副脾。腹膜后副脾的发病率非常罕见，应与腹膜后肿瘤相鉴别。
