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脾脏非奇生虫性囊肿较其他内脏囊肿少见,而脾脏单纯性囊肿则更为罕见,兹报告2例。病例摘要例1 男,15岁。左腰部及肝区隐痛4个月,不发热,无血尿史。于1987年10月作超声检查,发现左侧上腹部有巨大囊性包块而入院。体检:腹部稍隆起,左上腹部可触及一拳头大包块,质硬,表面光滑,可随呼吸上下移动,压痛不明显。未发现其它阳性体征。X线检查:静脉性尿路造影,左上腹部肿物与左肾影相重叠,肿物将肾脏向了挤压,左肾较右肾下移4cm,显影良好。B型超声检查,考虑脾脏巨大囊肿。在硬麻下行脾切除术。
Spleen non-nosocomial cysts rare than other visceral cysts, spleen simplex cysts are even more rare, it is reported in 2 cases. Case summary 1 male, 15 years old. Left waist and liver pain for 4 months, no fever, no history of hematuria. In October 1987 for ultrasound examination, found on the left upper abdomen with huge cystic mass and admission. Physical examination: a slight bulge in the abdomen, upper left abdomen can reach a large fist mass, hard, smooth surface, can move up and down with breathing, tenderness is not obvious. No other positive signs were found. X-ray examination: venous urography, the left upper quadrant of the pelvis and left kidney shadow overlap, the tumor will squeeze the kidneys, left kidney than the right kidney 4cm, the development of good. B-mode ultrasound examination, consider the huge splenic cyst. Splenectomy under hard anesthesia.