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脾囊肿极罕见,自从Andral(1829)尸检发现第1例,国内外报道多为散在病例,兹报告1例如下: 患者,女,30岁。主因左季肋部疼痛,间断发作40~+天,门诊B超检查以脾占位,海绵状血管瘤而于1989年4月4日入院。查体:一般情况好,头颈部(-),心肺(-),腹平软,肝(-),左肋下可触及12×10cm肿物,光滑,活动,无压痛及叩击痛。B超:脾下极10×7.8cm低回声区,边界规则,回声均匀;(图)CT,脾11.5×9×8.5m囊性占位区,边缘光滑,密度弱,CT值:13.1Hu。血尿粪常规(-)手术所见:肿物位于脾上极,约15×12×10cm,表面光滑,与周围无粘连,呈暗红色,质地较脾组织硬韧,遂行肿物及脾完整切除,术后过程良好。标本:脾大17×13×7.5cm肿物占11.5×11×7cm,重438g,囊性,单房,囊
Splenic cysts are extremely rare. Since Andral (1829) autopsy found the first case, mostly scattered cases at home and abroad, it is reported as follows: patients, female, 30 years old. The main reason for the left quarter rib pain, intermittent attack 40 ~ + days, outpatient B-ultrasound to spleen space occupation, cavernous hemangioma and on April 4, 1989 admission. Physical examination: Generally good, head and neck (-), cardiopulmonary (-), abdominal soft, liver (-), left ribs can reach 12 × 10cm tumor, smooth, activity, no tenderness and percussion pain. B ultrasound: spleen 10 × 7.8cm very hypoechoic area, the boundary rules, echo uniform; (Figure) CT, spleen 11.5 × 9 × 8.5m cystic space, smooth edges, weak density, CT value: 13.1Hu. Hematuria Conventional (-) Surgical findings: The tumor is located in the spleen on the pole, about 15 × 12 × 10cm, smooth surface, with no adhesions around, dark red, the texture of the spleen than the hard tissue, Postoperative good. Specimens: splenomegaly 17 × 13 × 7.5cm tumor accounted for 11.5 × 11 × 7cm, weight 438g, cystic, single room, capsule