国际妇产科学杂志 ›› 2025, Vol. 52 ›› Issue (6): 708-711.doi: 10.12280/gjfckx.20250489

• 妇科肿瘤研究:病例报告 • 上一篇    下一篇

盆腔脾种植误诊为卵巢肿瘤一例

周媛, 王真真, 操孟冬, 余涵, 沈雪()   

  1. 441000 武汉科技大学医学院襄阳市第一人民医院研究生联合培养基地妇产科(周媛,操孟冬);湖北医药学院附属襄阳市第一人民医院妇产科(王真真,沈雪),病理科(余涵)
  • 收稿日期:2025-05-12 出版日期:2025-12-15 发布日期:2025-12-30
  • 通讯作者: 沈雪 E-mail:FKxy1025@163.com

Misdiagnosis of Pelvic Splenosis as Ovarian Tumor: A Case Report

ZHOU Yuan, WANG Zhen-zhen, CAO Meng-dong, YU Han, SHEN Xue()   

  1. Department of Obstetrics and Gynecology, Postgraduate Union Training Base of Xiangyang No.1 People′s Hospital, School of Medicine, Wuhan University of Science and Technology, Xiangyang 441000, Hubei Province, China (ZHOU Yuan, CAO Meng-dong); Department of Obstetrics and Gynecology (WANG Zhen-zhen, SHEN Xue),Department of Pathology (YU Han), Xiangyang No.1 People′s Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, Hubei Province, China
  • Received:2025-05-12 Published:2025-12-15 Online:2025-12-30
  • Contact: SHEN Xue E-mail:FKxy1025@163.com

摘要:

盆腔脾种植(pelvic splenosis)是一种罕见的临床现象,通常由脾脏外伤或手术导致脾组织异位种植所致。该病多无明显临床症状,常在影像学检查中被偶然发现。由于其特殊的解剖位置及影像学特征,极易与卵巢肿瘤相混淆,导致误诊率较高。报告1例术前超声检查显示附件区实性占位,因未考虑患者既往行部分脾切除术病史,而将盆腔脾种植误诊为卵巢肿瘤的病例,旨在提高临床医师对该疾病的认识,为临床诊断与鉴别诊断提供参考,从而减少误诊误治的发生。

关键词: 卵巢肿瘤, 误诊, 诊断,鉴别, 病例报告, 盆腔脾种植

Abstract:

Pelvic splenosis is a rare clinical phenomenon, usually caused by ectopic implantation of splenic tissue due to splenic trauma or surgery. Most patients with this disease have no obvious clinical symptoms and it is often incidentally detected during imaging examinations. Due to its special anatomical location and imaging features, it is very easy to be confused with ovarian tumors, resulting in a relatively high misdiagnosis rate. This paper reports a case where the preoperative ultrasound examination showed a solid mass in the adnexal area. Without considering the patients history of partial splenectomy, pelvic splenosis was misdiagnosed as an ovarian tumor. The aim is to improve the clinical physicians awareness of this disease, provide references for clinical diagnosis and differential diagnosis, and thus reduce the occurrence of misdiagnosis and mistreatment.

Key words: Ovarian neoplasms, Diagnostic errors, Diagnosis, differential, Case reports, Pelvic splenosis