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一例通过腹腔镜干预切除原发性非寄生虫性脾囊肿的罕见病例。

A Rare Case of a Primary Non-parasitic Splenic Cyst Removed via Laparoscopic Intervention.

作者信息

Rafique Mubashir, Muzaffar Muhammad Moiz, Rauf Fatima, Khan Muhammad Haris, Tahir Muhammad Usama, Hanif Muhammad, Sabir Khan Huma

机构信息

Cardiology, Pinderfields Hospital, Wakefield, GBR.

Surgical Unit II, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, PAK.

出版信息

Cureus. 2024 Dec 7;16(12):e75263. doi: 10.7759/cureus.75263. eCollection 2024 Dec.

Abstract

Splenic cysts are differentiated into primary and secondary cysts based on epithelial lining. Primary non-parasitic epithelial splenic cysts are extremely rare. We report a case of a 24-year-old male with left hypochondrial swelling with no history of abdominal trauma. His hydatid serology was negative. A CT scan showed massive splenomegaly due to a large, relatively thin-walled cystic lesion with possible thin internal septation near the lower pole of the spleen. The entire cyst and its intact wall were excised laparoscopically. The cyst's nature and eventual laparoscopic removal, with its parenchyma preserved, make this a unique case.

摘要

脾囊肿根据上皮内衬可分为原发性和继发性囊肿。原发性非寄生虫性上皮性脾囊肿极为罕见。我们报告一例24岁男性,有左季肋部肿胀,无腹部外伤史。其包虫血清学检查为阴性。CT扫描显示脾脏因一个大的、相对薄壁的囊性病变而出现巨大脾肿大,该病变靠近脾下极,可能有薄的内部间隔。通过腹腔镜切除了整个囊肿及其完整的囊壁。该囊肿的性质以及最终在保留脾实质的情况下通过腹腔镜切除,使其成为一个独特的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fdc/11702126/6b29386b53d3/cureus-0016-00000075263-i01.jpg

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