巨大脾假性囊肿，一种罕见的腹部肿瘤病因：病例报告
Giant splenic pseudocyst, a rare aetiology of abdominal tumor: a case report.
作者信息
Cissé Mamadou, Konaté Ibrahima, Ka Ousmane, Dieng Madieng, Dia Abdarahmane, Touré Cheikh T
机构信息
Clinique Chirurgicale, Hpital Aristide Le Dantec, Avenue Pasteur, Dakar, BP 3001, Sénégal.
出版信息
Cases J. 2010 Jan 11;3:16. doi: 10.1186/1757-1626-3-16.
INTRODUCTION
Splenic pseudocysts are nonparasitic cyst without epithelial lining. We report this case especially by its way of revelation, its large size and its per operative presentation which needed total splenectomy. To this opportunity, we discuss the diagnostic procedure and therapeutic indications.
CASE PRESENTATION
A twenty-year old Senegalese woman, was admitted with a three-month history of spontaneous abdominal mass associated with a pain. Ultrasonography and CT scan found the giant splenic pseudocyst with a diameter of 20 cm which needed a total splenectomy by median laparotomy.
CONCLUSION
Usually, symptomless splenic cysts are untreated. When surgical treatment is indicated, recommendations are to preserve splenic parenchyma by partial splenectomy or fenestration especially by laparoscopy. Total splenectomy retains some guidance.
引言
脾假性囊肿是无上皮内衬的非寄生虫性囊肿。我们报告该病例，特别是因其发现方式、巨大尺寸以及术中表现，这些情况需要进行全脾切除术。借此机会，我们讨论诊断方法和治疗指征。
病例介绍
一名20岁的塞内加尔女性，因三个月来伴有疼痛的自发性腹部肿块入院。超声检查和CT扫描发现直径为20厘米的巨大脾假性囊肿，需通过正中剖腹术进行全脾切除术。
结论
通常，无症状的脾囊肿无需治疗。当需要手术治疗时，建议通过部分脾切除术或开窗术保留脾实质，尤其是通过腹腔镜手术。全脾切除术仍有一定的指导意义。
Zotero 插件