脾臓温存手術を行った脾嚢胞の1例 SPLENIC SALVAGE OPERATION FOR A SPLENIC CYST : REPORT OF A CASE

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脾部分切除術を行った真性脾嚢胞症例を経験したので報告する.<br> 症例は45歳男性で,左季肋部痛を主訴として来院.腹部超音波検査,腹部CT検査等の諸検査の結果,脾嚢胞と診断した.自覚症状を有し,また,破裂や感染の危険性も考えられたため,手術を行った.手術は摘脾後感染症,血栓症の点を考慮し,脾機能を温存する目的で,脾部分切除術を行った.病理組織学的には,まれな真性脾嚢胞と診断された.術後経過は良好で,脾機能は十分に温存されたと思われる.脾嚢胞に対する外科的治療法として,脾部分切除術は,積極的に試みるべき治療法と考える.

We experienced a case of true cyst of the spleen in which a partial splenectomy was carried out.<br> A 45-year-old man was seen at the hospital because of left hypochondralgia. With close examinations including abdominal ultrasonography and abdominal CT, the patient was diagnosed as having a cyst of the spleen. Since he had subjective symptoms and risks of rupture of the cyst and infection, an operation was carried out. For the purpose of preserving the splenic function in terms of liable infection and thrombosis after splenectomy, we employed partial splenectomy. Histopathologically, the cyst was diagnosed as true cyst of the spleen which is rare. Postoperative course was uneventful and the splenic function appeared to be satisfactorily preserved. We think that the partial splenectomy should be aggressively performed as a surgical treatment for splenic cyst.

収録刊行物

  • 日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society

    日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society 57(12), 3062-3066, 1996-12-25

    Japan Surgical Association

参考文献:  13件中 1-13件 を表示

被引用文献:  4件中 1-4件 を表示

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各種コード

  • NII論文ID(NAID)
    10008525753
  • NII書誌ID(NCID)
    AN00198696
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03869776
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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