Coda A, Ferri F, Filippa C, Vella R
I Divisione di Chirurgia, Presidio Sanitario Ospedale Gradenigo, Torino.
Minerva Chir. 1994 Nov;49(11):1153-6.
The authors report a rare case of haemorrhagic pseudocyst of the spleen in a 37 years old female who had always enjoyed very good health and who didn't remember any previous chest or abdominal traumas. Due to the initial refusal of the patient to undergo splenectomy, it has been possible to follow pathology progress. An echography of the cyst 6 months later, showed a maximum diameter increase of more than 2 cm and a further thinning of the cyst wall. Afterwards the patient decided to undergo the operation. The spleen showed a hollow of 10 cm of maximum diameter, with a degraded haematic content; the final histological examination confirmed the initial diagnosis of haemorrhagic pseudocyst of the spleen.
作者报告了一例罕见的脾脏出血性假囊肿病例，患者为一名37岁女性，一直身体健康，不记得之前有过任何胸部或腹部外伤史。由于患者最初拒绝接受脾切除术，得以跟踪病理进展情况。6个月后对囊肿进行超声检查，结果显示囊肿最大直径增加超过2厘米，囊肿壁进一步变薄。之后患者决定接受手术。脾脏显示最大直径为10厘米的空洞，内含退化的血液成分；最终组织学检查证实了最初脾脏出血性假囊肿的诊断。
