胰腺内副脾误诊2例报告  

Misdiagnosis of intrapancreatic accessory spleen:A report of two cases

作　　者：张孟哲 饶洁[1] 张正乐 ZHANG Mengzhe;RAO Jie;ZHANG Zhengle(Department of Pancreatic Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院胰腺外科,武汉430060

出　　处：《临床肝胆病杂志》2024年第2期365-368,共4页Journal of Clinical Hepatology

摘　　要：副脾是指正常脾脏以外存在的,与主脾结构相似,有一定功能的脾脏组织,其中完全被胰腺包裹的胰腺内副脾(IPAS)发生率仅为2%,因其临床症状不典型,影像学特征与胰腺神经内分泌肿瘤、胰腺实性假乳头状瘤以及其他胰腺占位性病变较为相似,临床上容易误诊。本文报道了2例分别被误诊为胰腺神经内分泌肿瘤和胰腺实性假乳头状瘤的IPAS患者,并分析误诊原因,总结诊疗经验,以期提升临床对IPAS明确鉴别诊断的认识。Accessory spleen refers to the spleen tissue that exists outside of the normal spleen,with a similar structure to the main spleen and certain functions.Intrapancreatic accessory spleen(IPAS)completely enveloped by the pancreas has an incidence rate of only 2%,and it is easily misdiagnosed in clinical practice due to its atypical clinical symptoms and similar radiological features to pancreatic neuroendocrine tumor,pancreatic solid pseudopapillary tumor,and other pancreatic space-occupying lesions.This article reports the clinical data of two patients with IPAS who were misdiagnosed as pancreatic neuroendocrine tumor and pancreatic solid pseudopapillary tumor,respectively,analyzes the reasons for misdiagnosis,and summarizes the experience in diagnosis and treatment,in order to improve the ability for the differential diagnosis of IPAS in clinical practice.

关 键 词：脾疾病 胰腺 误诊 神经内分泌瘤 乳头状瘤 

分 类 号：R657.5[医药卫生—外科学]