偶然发现的无症状脾错构瘤误诊为动脉瘤：一例报告。
Incidentally discovered asymptomatic splenic hamartoma misdiagnosed as an aneurysm: A case report.
作者信息
Cao Xue-Feng, Yang Li-Peng, Fan Song-Song, Wei Qiang, Lin Xu-Tao, Zhang Xing-Yuan, Kong Ling-Qun
机构信息
Department of Hepatobiliary Surgery, Binzhou Medical University Hospital, Binzhou 256603, Shandong Province, China.
Department of Hepatobiliary Surgery and Clinical Nutrition Center, Binzhou Medical University Hospital, Binzhou 256600, Shandong Province, China.
出版信息
World J Clin Cases. 2021 Aug 26;9(24):7231-7236. doi: 10.12998/wjcc.v9.i24.7231.
BACKGROUND
Splenic hamartoma (SH) is a rare, benign vascular proliferation that is often found incidentally. It may be misdiagnosed as a splenic aneurysm or splenic malignancy.
CASE SUMMARY
A 21-year-old male patient was admitted to our hospital with a complaint of an incidentally discovered asymptomatic splenic space-occupying lesion for 2 wk. Abdominal computed tomography (CT) scan showed a circular low-density shadow in the hilum of the spleen. Contrast-enhanced CT revealed an aneurysm located in the hilum of the spleen before operation. Laparoscopic splenectomy was performed and postoperative pathology revealed the presence of SH.
CONCLUSION
Imaging studies are insufficient for the differential diagnosis of SH from other diseases, and laparoscopic splenectomy is a less invasive procedure and useful for the diagnostic purpose as well.
背景
脾错构瘤（SH）是一种罕见的良性血管增殖性病变，常为偶然发现。它可能被误诊为脾动脉瘤或脾恶性肿瘤。
病例摘要
一名21岁男性患者因偶然发现无症状脾占位性病变2周入院。腹部计算机断层扫描（CT）显示脾门处有一个圆形低密度影。术前增强CT显示脾门处有一个动脉瘤。行腹腔镜脾切除术，术后病理显示为脾错构瘤。
结论
影像学检查不足以将脾错构瘤与其他疾病进行鉴别诊断，腹腔镜脾切除术是一种侵入性较小的手术，对诊断也有帮助。
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