Kato Y, Murayama K, Taniguchi N, Yamaguchi S, Hashimoto H, Kaneko S, Yachiku S
Department of Urology, Asahikawa Medical College.
Hinyokika Kiyo. 1998 Oct;44(10):711-4.
We report the 13th case of accessory spleen in the retroperitoneum in the world literature. A 53-year-old man visited our hospital complaining of lassitude. Laboratory studies revealed significant anemia. Several imaging studies revealed a large retroperitoneal tumor (70 x 63 x 48 mm) in the medial aspect of the lower pole of the left kidney. The tumor was supplied arterially from the first and second lumbar arteries. Since the tumor adhered tightly to the left kidney, the kidney was resected as well as the tumor. The tumor was very hemorrhagic. On histological examination, the tumor exhibited a structure typical of splenic tissue. The retroperitoneal accessory spleen is very rare, and the literature on it is reviewed here.
我们报告了世界文献中第13例腹膜后副脾病例。一名53岁男性因疲倦前来我院就诊。实验室检查显示严重贫血。多项影像学检查发现左肾下极内侧有一个巨大的腹膜后肿瘤（70×63×48mm）。该肿瘤由第一和第二腰动脉供血。由于肿瘤与左肾紧密粘连，遂将肾与肿瘤一并切除。肿瘤出血严重。组织学检查显示，肿瘤呈现出典型的脾组织结构。腹膜后副脾非常罕见，本文对相关文献进行了综述。
