Roy G, Echavé V, Likongo Y, Laurin M, Massé S, Boctor M
Can J Surg. 1985 Mar;28(2):162-3.
The authors report the clinical case of an 18-year-old patient who presented with a symptomatic mass in the left upper quadrant 6 months after having infectious mononucleosis. The preoperative investigation consisted principally of echography and computerized axial tomography of the abdomen, which demonstrated a cystic mass of the lower pole of the spleen. Splenectomy was carried out. Histologic examination showed a pseudocyst of the spleen with a fibrous capsule without an epithelial lining. The treatment and pathogenesis of pseudocysts of the spleen secondary to infectious mononucleosis are discussed.
作者报告了一例18岁患者的临床病例,该患者在患传染性单核细胞增多症6个月后,左上腹出现有症状的肿块。术前检查主要包括腹部超声和计算机断层扫描,结果显示脾脏下极有一个囊性肿块。遂进行了脾切除术。组织学检查显示为脾脏假性囊肿,有纤维囊,无上皮内衬。本文讨论了传染性单核细胞增多症继发的脾脏假性囊肿的治疗及发病机制。