Intrasplenic Pancreatic Pseudocyst-A Case Report

脾臟內胰臟假性囊腫－一病例報告

鄭國祥(Kuo-Shyang Jeng) ； 高進祿(Chin-Roa Kao) ； 林雲南(Yun-Nan Lin)

《中華民國消化系醫學會雜誌》 2卷2期 (1985/06) Pp. 111-117

https://doi.org/10.6557/GJTa.198506_2(2).0009

摘要

本文報告1例，為一位30歲男性，左上腹部發現有一腫塊而有隱痛感。腹部超音波掃瞄檢查、腹部血管攝影檢查、腹部電腦斷層掃瞄檢查和剖腹術發現其脾臟內有一20×15公分之假性囊腫。顯微鏡下其纖維性壁含有大量的鈣和膽固醇裂片，而囊腫內之液體，其澱粉醃之值甚高。
胰臟假性囊腫侵犯至脾臟係胰臟炎的合幷症中最少見的一種情况，舉世文獻至今共祇報告過二十一個病例。其後果甚嚴重幷可能危及生命，包括脾臟之自發性破裂、血管之糜爛造成突發性出血以及由於脾臟血管之血栓形成而引起的梗塞或壞死。早期診斷和早期手術治療，施行脾臟切除術或必要時加上胰臟尾端切除術以除去整個假性囊腫，是最好的治療。

關鍵字

胰臟炎 ； 假性囊腫

並列摘要

We reported a case of 30 year-old man who had a mass at left upper abdomen with dull pain. Abdominal ultrasonography, celiac angiography, abdominal computed tomography and laparotomy revealed a pseudocyst, 20×15cm in size, in the spleen. The fibrotic wall of the pseudocyst contained plenty of cholesterol clefts and calcium microscopically. The fluid within it had a high level of amylase activity.
Involvement of the spleen by a pancreatic pseudocyst is one of the least common complications of pancreatitis with a total of 21 cases reported in the literature. The consequence may be serious and life-threatening. They include spontaneous splenic rupture, erosion of vessels with sudden hemorrhage and thrombosis of splenic vessels with infarction and frank necrosis. Early diagnosis followed by early surgical intervention with removal of the entire pseudocyst by splenectomy and/or possible distal pancreatectomy is advocated.

並列關鍵字

pancreatitis ； pseudocyst