儿童巨大非寄生虫性脾间皮囊肿：一例报告及文献复习
Huge Non-parasitic Mesothelial Splenic Cyst in a Child: A Case Report and Literature Review.
作者信息
Krichen Imed, Maazoun Kais, Kitar Murad, Kamal Naglaa M, Khan Ubaidullah, Khalif Mostafa Yl, A Rasha, Assiri Haifa, Bokari Kawthar Abdulrhim
机构信息
Department of Surgery, Alhada Armed Forces Hospital, Taif, Saudi Arabia.
Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt.
出版信息
Clin Med Insights Pediatr. 2021 Jun 3;15:11795565211021597. doi: 10.1177/11795565211021597. eCollection 2021.
BACKGROUND
Splenic cysts are one of the relatively rare conditions in pediatric surgery practice. Primary non-parasitic splenic cysts are even more scarce.
CASE PRESENTATION
A 13-years-old female patient presented with chronic left hypochondrial pain of 2 months duration. Abdominal ultrasonography and computed tomography revealed huge 18 cm × 14 cm × 10 cm splenic cyst. Deroofing of the cyst was done which was complicated by secondary infection. Subsequently, the patient was re-operated on and partial splenectomy done with good outcome at 6 months follow up.
CONCLUSION
Partial splenectomy is the best management strategy for huge non-parasitic splenic cysts in children. There is also less recurrence rate of splenic cysts with preservation of splenic functions.
背景
脾囊肿是小儿外科实践中相对罕见的病症之一。原发性非寄生虫性脾囊肿更为少见。
病例报告
一名13岁女性患者出现持续2个月的慢性左季肋部疼痛。腹部超声和计算机断层扫描显示巨大的18厘米×14厘米×10厘米脾囊肿。进行了囊肿去顶术，但出现了继发感染的并发症。随后，患者接受再次手术，进行了部分脾切除术，术后6个月随访结果良好。
结论
部分脾切除术是治疗儿童巨大非寄生虫性脾囊肿的最佳管理策略。保留脾功能的情况下，脾囊肿的复发率也较低。
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