Sullivan C A, Konefal S H
Clin Pediatr (Phila). 1987 Apr;26(4):203-5. doi: 10.1177/000992288702600414.
Nonparasitic splenic cysts, although rare, should be considered in the differential diagnosis of persistent vague upper abdominal pain in children and young adults. These cysts, which are less common than traumatic pseudocysts, include hemangiomas, dermoids, lymphangiomas, and, as in the present case, epidermoid variants. Ultrasound is diagnostic. The pathogenesis of these lesions remains obscure. While some continue to advocate splenectomy as definitive treatment, an operation with splenic salvage should be possible, even in centrally located lesions.
非寄生虫性脾囊肿虽然罕见，但在儿童和青年持续性上腹部隐痛的鉴别诊断中应予以考虑。这些囊肿比创伤性假性囊肿少见，包括血管瘤、皮样囊肿、淋巴管瘤，如本例中的表皮样囊肿变种。超声可作出诊断。这些病变的发病机制仍不清楚。虽然一些人继续主张脾切除术作为确定性治疗方法，但即使是位于脾脏中央的病变，也应可行保留脾脏的手术。
