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腹腔镜治疗巨大脾囊肿。

Laparoscopic management of a massive splenic cyst.

机构信息

San Fernando General Hospital, West Indies, St. Augustine, Trinidad.

出版信息

Asian J Surg. 2010 Apr;33(2):103-6. doi: 10.1016/S1015-9584(10)60018-8.

Abstract

Splenic cysts are relatively uncommon entities in surgical practice and treatment options vary. We present a case of a young adult woman who presented with a left-sided abdominal mass. A large splenic cyst was diagnosed by abdominal ultrasound and computed tomography. Laparoscopic partial excision with marsupialisation was performed with uneventful recovery and minimal blood loss. Histopathology revealed an epidermoid cyst of the spleen. This report describes the case, and includes a short review of the literature. Laparoscopic partial excision with marsupialisation is a safe and appropriate method of treatment for large splenic cysts.

摘要

脾脏囊肿在外科实践中相对少见,治疗方法多种多样。我们报告了一例年轻成年女性,她因左侧腹部肿块就诊。腹部超声和计算机断层扫描诊断为巨大脾脏囊肿。腹腔镜部分切除并造口术顺利进行,无并发症,出血量少。组织病理学显示为脾脏表皮样囊肿。本报告描述了该病例,并对文献进行了简短回顾。腹腔镜部分切除并造口术是治疗大型脾脏囊肿的一种安全、合适的方法。

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