Seguel Ramírez F, Alonso Calderón J L, Ollero Caprani J M, Rollán Villamarín V
Servicio de Cirugía Pediátrica, Hospital Niño Jesús, Madrid.
Cir Pediatr. 2003 Apr;16(2):95-8.
We communicate two cases of epidermoid splenic cyst of great size in four and six years old children, with pain in right hypochondrium in one of them, having been casual the discovery of the other one in ultrasound study of the abdomen. In both cases the abdominal ultrasound study was the most useful exploration for its diagnosis. The surgical treatment by means of partial splenectomy and conservation of more than a third of the organ it has been feasible in both patients, with a favorable evolution and without complications. The histopathologic study confirmed the discovery of epidermoid spleen cysts. Later on a clinical, analytic pursuit has been made and of these patients image with a very satisfactory evolution.
我们报告两例4岁和6岁儿童的巨大表皮样脾囊肿病例，其中一例有右季肋部疼痛，另一例是在腹部超声检查时偶然发现的。在这两例中，腹部超声检查是诊断该病最有用的检查方法。通过部分脾切除术，保留超过三分之一的脾脏进行手术治疗，在两名患者中都是可行的，术后病情进展良好且无并发症。组织病理学研究证实为表皮样脾囊肿。随后对这些患者进行了临床、分析追踪及影像学检查，病情进展非常令人满意。
