Marescaux J, Anselm Y, Pavis D'Escurac X, Doffoel M, Sibilly A
J Chir (Paris). 1986 May;123(5):352-7.
The authors report a case of pseudocyst of the spleen. This is a rare entity which is part of nosological type of nonparasitic splenic cysts. It has most often a post-traumatic origin. The diagnosis is evoked in front of a mass of the left hypochondrium and has to be confirmed by further examinations, in particular by sonography and scanner. A microscopic examination of the surgical specimen is the only way to establish the diagnosis of a pseudocyst. The histological characteristic of pseudocyst is absence of epithelium. The splenic pseudocysts require a surgical treatment. In most cases, a splenectomy is performed. A the moment, cyst resection and partial splenectomies are performed by a few authors. This is the type of technique that we prefer especially when the patient is young.
作者报告了一例脾假性囊肿病例。这是一种罕见的疾病,属于非寄生虫性脾囊肿的病种类型。它最常见的起源是创伤后。当左季肋部出现肿块时会考虑到该诊断,必须通过进一步检查来确诊,尤其是超声检查和扫描。对手术标本进行显微镜检查是确诊假性囊肿的唯一方法。假性囊肿的组织学特征是无上皮。脾假性囊肿需要手术治疗。在大多数情况下,会进行脾切除术。目前,少数作者会进行囊肿切除和部分脾切除术。这是我们特别倾向的技术类型,尤其是当患者年轻的时候。