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创伤后脾假性囊肿:1例罕见病例报告

Post-traumatic Pseudocyst of the Spleen: A Report of a Rare Case.

作者信息

Kumar Aravind, Antony Alexander Mecheri

机构信息

General Surgery, Sree Balaji Medical College & Hospital, Chennai, IND.

Surgery, Sree Balaji Medical College & Hospital, Chennai, IND.

出版信息

Cureus. 2025 Apr 16;17(4):e82386. doi: 10.7759/cureus.82386. eCollection 2025 Apr.

Abstract

Splenic pseudocysts are multifactorial in etiology, with trauma being the most common causative factor, wherein an intrasplenic hematoma forms and subsequently liquefies. They can also develop as a result of infections - both local and systemic - through an inflammatory process and tissue necrosis. Pancreatitis-induced splenic pseudocysts, although exceedingly rare, arise either from the direct extension of pancreatic inflammation, enzymatic autodigestion of the pancreas, or the close anatomical relationship between the pancreas and spleen. Splenic pseudocysts are diagnosed by demonstrating their size, location, and internal septations or calcifications on imaging modalities such as computed tomography (CT) and magnetic resonance imaging. Although less sensitive than CT at discerning subtle details, ultrasonography plays a major role in initial and longitudinal monitoring, particularly due to its lack of radiation exposure, which is beneficial for certain patient populations, including pregnant or pediatric patients.

摘要

脾假性囊肿病因是多因素的,外伤是最常见的致病因素,脾内血肿形成后继而液化。它们也可因局部和全身感染通过炎症过程和组织坏死而发生。胰腺炎所致的脾假性囊肿虽然极为罕见,但可由胰腺炎症的直接蔓延、胰腺的酶性自身消化或胰腺与脾脏的紧密解剖关系引起。脾假性囊肿通过在计算机断层扫描(CT)和磁共振成像等影像学检查中显示其大小、位置及内部间隔或钙化来诊断。虽然超声在辨别细微细节方面不如CT敏感,但在初始和长期监测中起主要作用,特别是因其无辐射暴露,这对某些患者群体(包括孕妇或儿科患者)有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45cd/12083853/2f0629aec588/cureus-0017-00000082386-i01.jpg

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