副脾误诊为左侧肾上腺偶发瘤一例
A Case of Accessory Spleen Misdiagnosed as Left Adrenal Incidentaloma
DOI: 10.12677/MD.2022.122031, PDF,   
作者: 韩克威, 左迎超：青岛大学青岛医学院，山东 青岛
关键词: 肾上腺偶发瘤；副脾；误诊；Adrenal Incidentaloma； Accessory Spleen； Misdiagnosis
摘要: 目的：对一例副脾误诊为左侧肾上腺偶发瘤进行分析，提高对肾上腺偶发瘤的诊断能力及对副脾的认识；方法：对本院收治一例副脾误诊为左侧肾上腺偶发瘤，进行影像学及症状进行分析，探讨误诊原因；结果：影像学分辨副脾及肾上腺偶发瘤存在一定难度，副脾可被误诊为其他系统疾病；结论：拟诊肾上腺偶发瘤需仔细谨慎，应注意与副脾的鉴别，重点关注其三期强化程度与脾脏的比较及血流的同步性。
Abstract: Objective: To analyze a case of accessory spleen misdiagnosed as left adrenal incidental tumor, so as to improve the diagnostic ability of adrenal incidental tumor and the understanding of accessory spleen. Methods: A case of accessory spleen misdiagnosed as left adrenal incidental tumor was treated in our hospital. The imaging and symptoms were analyzed to explore the causes of misdiagnosis. Results: It is difficult to distinguish accessory spleen and adrenal incidental tumor by imaging. Accessory spleen can be misdiagnosed as other systemic diseases. Conclusion: Careful attention should be paid to the differentiation between adrenal incidental tumor and accessory spleen, focusing on the comparison of the degree of three-stage enhancement with spleen and the synchronization of blood flow.
文章引用：韩克威, 左迎超. 副脾误诊为左侧肾上腺偶发瘤一例[J]. 医学诊断, 2022, 12(2): 196-200. https://doi.org/10.12677/MD.2022.122031

参考文献

[1] Fassnacht, M., Arlt, W., Banccos, I., et al. (2016) Management of Adrenal Incidentalomas: European Society of Endocrinology Clinical Practice Guideline in Collaboration with the European Network for the Study of Adrenal Tumors. European Journal of Endocrinology, 175, G1-G34. [Google Scholar] [CrossRef] 
[2] Young Jr., W.F. (2000) Management Approaches to Adrenal Incidentalomas: A View from Rochester, Minnesota. Endocrinology and Metabolism Clinics of North America, 29, 159-185. [Google Scholar] [CrossRef] 
[3] 张志昱, 欧阳骏, 浦金贤, 侯建全, 张江磊. 左肾上腺区占位误诊荟萃分析[J]. 中国现代医学杂志, 2021, 31(1): 92-95.
[4] Kim, J.S., Chong, A. and Kim, S.M. (2018) Diagnosis of Gastric Subepithelial Mass as an Accessory Spleen Using Fusion of Spleen SPECT and CT Images. Radiology Case Reports, 13, 1137-1140. [Google Scholar] [CrossRef] [PubMed]
[5] Unver Dogan, N., Uysal, I.I., Demirci, S., et al. (2011) Accessory Spleens at Autopsy. Clinical Anoatomy, 24, 757-762. [Google Scholar] [CrossRef] [PubMed]
[6] 郑敏文, 葛雅丽, 宦怡, 张劲松, 龚雪鹏. 异位副脾误诊为肾上腺腺瘤1例[J]. 第四军医大学学报, 2001, 22(24): 2261.
[7] 张昊, 辛鹏, 姜元军. 副脾误诊为左侧肾上腺肿瘤二例报告并经验总结[J]. 中华腔镜泌尿外科杂志(电子版), 2020, 14(5): 382-385.
[8] Barzon, L. and Boscaro, M. (2000) Diagnosis and Management of Adrenal Incidentalomas. Journal of Urology, 163, 398- 407. [Google Scholar] [CrossRef] 
[9] Lockhart, M.E., Smith, J.K. and Kenney, P.J. (2002) Imaging of Adrenal Masses. European Journal of Radiology, 41, 95-112. [Google Scholar] [CrossRef] 
[10] 祁明伸. 肾上腺占位病变患者超声、CT、MRI诊断价值分析[J]. 中国CT和MRI杂志, 2017, 15(1): 86-88.
[11] 曹佑军, 龚向阳, 王建. 肾上腺区副脾的CT表现[J]. 临床放射学杂志, 2016, 35(2): 300-303.
[12] 温思萌, 权昌益, 牛远杰. 脾切除术后左肾上腺区副脾1例[J]. 临床泌尿外科杂志, 2011, 26(5): 373.
[13] Williams, A.R., Hammer, G.D. and Else, T. (2014) Transcutaneous Biopsy of Adrenocortical Carcinoma is Rarely Helpful in Diagnosis, Potentially Harmful, But Does Not Affect Patient Outcome. European Journal of Endocrinology, 170, 829-835. [Google Scholar] [CrossRef] 
[14] Gezer, E., Çetinarslan, B., Karakaya, D., et al. (2021) Differentiation of Insulinoma from Accessory Spleen by 99mTc-Labelled Heat-Denaturated Red Blood Cell Scintigraphy: Case Report. BMC Endocrine Disorders, 21, Article No. 6. [Google Scholar] [CrossRef] [PubMed]