Klompmaker I J, Haagsma E B, Slooff M J
Department of Internal Medicine, University Hospital, Groningen, The Netherlands.
HPB Surg. 1993;6(3):229-32; discussion 233. doi: 10.1155/1993/94170.
A 27-year old female patient, born and living in Morocco, suffered from severe variceal bleeding and weight loss. Eventually a diagnosis of gastric fundus varices was made supposedly resulting from partial obstruction of the splenic vein and collateral blood flow via the short gastric veins. Splenectomy was proposed. Peroperatively it became apparent that a solitary ecchinococcal cyst in the hilus of the spleen obstructed the blood flow in the splenic vein. The cyst, the spleen, and part of the pancreatic tail were removed. After splenectomy bleeding did not recur.
一名27岁的女性患者，出生并居住在摩洛哥，患有严重的静脉曲张出血和体重减轻。最终诊断为胃底静脉曲张，推测是由于脾静脉部分阻塞以及通过胃短静脉的侧支血流所致。建议进行脾切除术。手术中发现脾脏门处有一个孤立的棘球蚴囊肿阻塞了脾静脉的血流。切除了囊肿、脾脏和部分胰尾。脾切除术后出血未再复发。
