Sugimoto T, Yoshioka T, Sawada Y, Sugimoto H, Maemura K
J Trauma. 1982 Sep;22(9):797-800. doi: 10.1097/00005373-198209000-00015.
Six patients with traumatic cyst of liver are reported. Among them three patients without clinical manifestation had cysts detected by followup study with CT scan, which has been routinely performed since 1978 in 14 patients with blunt injuries of liver. Two cases of spontaneous cure of traumatic cyst are also reported. There was no relationship between the severity of the injury and cyst formation. Clinical signs, such as abdominal pain, tenderness, or distention were observed in only two of the six patients. We consider, therefore, that traumatic cysts of liver may occur much oftener than has been commonly accepted and that most of them may cure spontaneously. Elevation of alkaline phosphatase later after injury may suggest expansion of the cyst. In such cases CT examination is mandatory.
报告了6例肝外伤性囊肿患者。其中3例无临床表现，通过CT扫描随访检查发现囊肿，自1978年以来，对14例肝脏钝性损伤患者常规进行CT扫描。还报告了2例肝外伤性囊肿自发治愈的病例。损伤的严重程度与囊肿形成之间没有关系。6例患者中只有2例出现腹痛、压痛或腹胀等临床症状。因此，我们认为肝外伤性囊肿的发生率可能比普遍认为的要高得多，而且大多数可能会自发治愈。损伤后碱性磷酸酶升高可能提示囊肿扩大。在这种情况下，必须进行CT检查。
