Wyss M, Chi N H, Braun P, Cox J
Helv Paediatr Acta. 1978 Nov;33(4-5):443-8.
The authors report a case of isolated splenomegaly in a healthy 7-year-old boy, not showing any other clinical or biological anomaly. The radiological examination (selective arteriography of left renal artery) and spleenscan were compatible with an intrasplenic process. The splenectomy was performed. The spleen was large (15/20 cm) and demonstrating a cystic lesion in the inferior pole. Histological examination revealed polycystic formations covered with endothelial type cells and associated with angiomatous multifocal lesions. Differential diagnosis of cystic lesions of the spleen is discussed and complete preoperative investigation is stressed.
作者报告了一例健康7岁男孩单纯脾肿大的病例，未表现出任何其他临床或生物学异常。放射学检查（左肾动脉选择性动脉造影）和脾脏扫描与脾内病变相符。进行了脾切除术。脾脏很大（15/20厘米），在下极有一个囊性病变。组织学检查显示多囊性结构，表面覆盖内皮样细胞，并伴有多灶性血管瘤样病变。文中讨论了脾脏囊性病变的鉴别诊断，并强调了术前的全面检查。
