1病例报告患者女,45岁。主因“间断左肩背部疼痛半个月余”于2007-12-06入院。体检:生命体征平稳,皮肤巩膜无黄染,全身浅表淋巴结未及肿大,腹平软,未触及肿块,全腹无压痛、反跳痛及肌紧张,肝脾肋下未及,移动性浊音(-),肠鸣音正常;CT示:脾轻度肿大,脾脏内可见约8 cm×10 cm大小 1 case report patient female, 45 years old. The main reason for “intermittent left shoulder back pain more than half a month” in 2007-12-06 admission. Physical examination: stable vital signs, no scleral yellowish skin, superficial lymph nodes of the whole body without enlargement, abdominal flatness, no palpable mass, no tenderness in the abdomen, rebound tenderness and muscular tension, absence of liver and spleen, mobility Voiced (-), normal bowel sounds; CT showed: mild spleen enlargement, the spleen can be seen about 8 cm × 10 cm size