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1 病例报告 例1:女,26岁,3年前发现左上腹有一拳大肿物,逐渐增大,近2个月来觉左上腹疼痛。查体:左上腹稍膨,可触及15×12cm肿物,较软,表面光滑,可随呼吸移动,无压痛。静脉肾盂造影显示左肾向下移位,显影良好。腹平片见脾区有一密度增高影,无钙化。临床诊断:左上腹囊肿(脏器待查)。硬膜外麻醉下行剖腹探查术,见肿物为脾下极巨大囊肿,约15×13×13cm,囊壁薄,暗褐色。行脾切除术。术后病
Case Report 1 Female, 26 years old, three years ago found a large fist in the left upper quadrant gradually increased, almost 2 months to feel the left upper quadrant pain. Physical examination: left upper abdomen slightly swollen, palpable 15 × 12cm mass, softer, smooth surface, can move with the breath, no tenderness. Intravenous pyelography showed the left kidney shift downward, the development of good. Abdominal plain film see the spleen area has a density of shadow, no calcification. Clinical diagnosis: left upper quadrant cyst (organ to be investigated). Epidural anesthesia laparotomy laparotomy, see the tumor as a very large splenic cyst, about 15 × 13 × 13cm, thin wall, dark brown. Splenectomy. Postoperative disease