脾脏炎性假瘤：一种具有诊断和治疗挑战的罕见病症：病例报告
Pseudotumor inflammatory of the spleen: A rare entity with diagnostic and therapeutic challenges: A case report.
作者信息
Ouzzaouit Hamza, Kaitouni Boubker Idrissi, Zouaidia Fouad, Hamza Sekkat, Hrora Abdelmalek, Raiss Mohammed
机构信息
Digestive Surgical Department C, Ibn Sina University Hospital, Rabat, Morocco; Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Morocco.
Digestive Surgical Department C, Ibn Sina University Hospital, Rabat, Morocco; Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Morocco.
出版信息
Int J Surg Case Rep. 2024 Feb;115:109215. doi: 10.1016/j.ijscr.2023.109215. Epub 2023 Dec 31.
INTRODUCTION AND IMPORTANCE
Inflammatory pseudotumor (IPT) of the spleen is a rare entity that can be difficult distinguishing it from malignancies, both in clinical presentation and radiological imaging.
CASE PRESENTATION
We present the case of a 43-year-old female presented with 15-cm left hypochondrial mass, Initial imaging studies raised concerns of malignancy, leading to a splenectomy. However, the final pathological examination determined that the patient had IPT of the spleen with focal expression of Smooth Muscle Antibody (SMA).
CLINICAL DISCUSSION
This case highlights the importance of considering IPT as a potential diagnosis of splenic masses that was difficult to diagnose before surgery.
CONCLUSION
The uniqueness of the case under consideration lies in the rarity and the atypical localization of IPT of the spleen.
引言与重要性
脾脏炎性假瘤（IPT）是一种罕见的病症，在临床表现和影像学检查中都难以与恶性肿瘤区分开来。
病例介绍
我们报告一例43岁女性，其左季肋部有一个15厘米的肿块。最初的影像学检查引发了对恶性肿瘤的担忧，遂进行了脾切除术。然而，最终的病理检查确定该患者患有脾脏炎性假瘤，平滑肌抗体（SMA）呈局灶性表达。
临床讨论
该病例凸显了将IPT视为术前难以诊断的脾脏肿块潜在诊断的重要性。
结论
所考虑病例的独特之处在于脾脏炎性假瘤的罕见性和非典型定位。
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