Panossian D H, Wang N, Reeves C D, Weeks D A
Department of Surgery, Loma Linda University Medical Center, California 92354-0200.
Am Surg. 1990 May;56(5):295-8.
In this report we reviewed 159 cases of epidermoid cyst of the spleen reported since 1929 and we added one case of our own with a unique clinical presentation. In these cases, the patients' age at presentation ranged from newborn to 51 years, with a mean age of 17.7 years. Female-to-male ratio was 2.0 to 1.0. Patients with this lesion usually present with asymptomatic abdominal mass and/or abdominal pain. Only in rare reports has there been infection (4 cases) or rupture (4 cases) of the cyst. In our case, the patient presented with an acute surgical abdomen and diffuse peritonitis. As in three of the previously reported cases associated with infection, Salmonella group organisms were cultured from the cyst abscess. Splenectomy is the surgical treatment of choice and the initial antibiotic regime should include Salmonella coverage.
在本报告中，我们回顾了自1929年以来报道的159例脾表皮样囊肿病例，并补充了1例我们自己遇到的具有独特临床表现的病例。在这些病例中，患者就诊时的年龄从新生儿到51岁不等，平均年龄为17.7岁。男女比例为2.0比1.0。患有这种病变的患者通常表现为无症状腹部肿块和/或腹痛。仅在罕见的报道中有囊肿感染（4例）或破裂（4例）的情况。在我们的病例中，患者表现为急性外科急腹症和弥漫性腹膜炎。正如之前报道的3例与感染相关的病例一样，从囊肿脓肿中培养出了沙门氏菌群。脾切除术是首选的手术治疗方法，初始抗生素治疗方案应包括针对沙门氏菌的覆盖。
