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

作　　者：韩克威 左迎超 

机构地区：[1]青岛大学青岛医学院,山东 青岛

出　　处：《医学诊断》2022年第2期196-200,共5页Medical Diagnosis

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。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.

关 键 词：肾上腺偶发瘤 副脾 误诊 

分 类 号：R736.6[医药卫生—肿瘤]