Weber J, Schmüdderich W, Harloff M, Kohler B, Riemann J F
Medizinische Klinik C, Klinikum der Stadt Ludwigshafen am Rhein.
Ultraschall Med. 1990 Jun;11(3):123-6. doi: 10.1055/s-2007-1011544.
Secondary splenic cysts usually occur following blunt abdominal trauma. In rare cases, the spleen can be affected in pancreatitis. Since the clinical findings are fairly uncharacteristic, this was a difficult diagnosis to make before imaging examination techniques became available. These cysts only became apparent as a result of their complications. Today, thanks to sonography and abdominal CT-scan, these cysts can be detected in their asymptomatic stage. Furthermore, interventional sonography allows the puncture and drainage of these cysts, and this technique is thus an alternative to surgery. Two cases of pancreatitis with splenic involvement are presented.
继发性脾囊肿通常发生在腹部钝性外伤之后。在罕见情况下，胰腺炎也可累及脾脏。由于临床表现相当不典型，在影像检查技术出现之前，这是一个难以做出的诊断。这些囊肿仅因其并发症才变得明显。如今，多亏了超声检查和腹部CT扫描，这些囊肿在无症状阶段就能被检测出来。此外，介入性超声检查可对这些囊肿进行穿刺和引流，因此该技术是手术的一种替代方法。本文介绍了两例累及脾脏的胰腺炎病例。
