<症例>仮性脾嚢胞の1例

概要

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A 43-year-old male complaining of the upper abdominal pain was diagnosed as having chronic cholecystitis and a splenic cyst which was incidentally found on the previous examination at another hospital. In order to remove the cyst, he was readmitted to our hospital on May 25,1984. Abdominal computed tomogram, ultrasonogram, angiogram and ^<99m>TcSn colloid scintigram evaluated a solitary, unilocular, round cyst of the spleen with partially calcified wall. On June 4,1984,the 6×5×4cm sized cyst was removed by splenectomy. Histologic examination revealed a false cyst without any malignancy. The origin of the cyst was unclear. Simultaneous cholecystectomy revealed usual chronic cholecystitis. Although his immediate postoperative course was uneventful, resultant intraabdominal abscess needed relaparotomy and drainage. His recovery following to the reoperation was complete. Although the operation for the splenic cyst among the surgery of spleen is very rare, reported cases are increasing in the recent literature. In order to avoid the postoperative complications, splenectomy including the cyst was preferred to other techniques such as drainage, puncture, or malsupialization. In selected cases, partial splenectomy or simple removal of the cyst may be a choice of treatment for the preservation of natural splenic function.
近畿大学の論文
1985-03-25