Caillet B, Hakim F, Perol M, Bayle J Y, Guérin J C
Service de Pneumologie, Hôpital de la Croix Rousse, Lyon.
Rev Pneumol Clin. 1990;46(3):114-5.
Subdiaphragmatic diseases are a classical but uncommon cause of pleural effusion. We report here the case of a woman admitted for a left pleural effusion which led to the discovery of a splenic tumour. Pathological examination of the splenectomy specimen showed that the tumour was an epidermoid cyst of the spleen. Cysts of the spleen are exceptionally revealed by pleurisy. Epidermoid cysts account for 10% of all non-parasitic splenic cysts. They remain silent for a long time and are usually disclosed by such complications as compression of surrounding organs, rupture or superinfection.
膈下疾病是胸腔积液的一个经典但不常见的病因。我们在此报告一例因左侧胸腔积液入院的女性病例，该病例导致发现了脾脏肿瘤。脾切除标本的病理检查显示肿瘤为脾脏表皮样囊肿。脾脏囊肿极少由胸膜炎揭示。表皮样囊肿占所有非寄生虫性脾囊肿的10%。它们长期无症状，通常因压迫周围器官、破裂或继发感染等并发症而被发现。
