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至今为止,有关位于脾脏内异位胰腺囊肿文献报告了九例。本文作者报告了一例罕见的异位胰腺囊腺瘤。病例报告:48岁,日本籍,女性患者,因左上腹肿物伴轻度疼痛及进行性疲乏2年经私人医院转送至Osaka城大学医学院。患者曾因糖尿病及高血压病在此私人医院治疗8年。既往无胆石症,外伤,肾脏疾患,出血性疾病及肠功能障碍。住院检查:血压146/80,脉搏72次/分,呼吸16/分。腹部检查可发现左肋下有12×20 cm大小圆形肿物,内越过中线外。该肿物柔软,无搏动,深吸气可向下移动。实验室检查除空腹血糖275%,白血球计数90000/mm~2外,其余各项检查均在正常范围。胸部X线平片正常。上部胃肠造影显示胃大弯侧
To date, nine cases of ectopic pancreatic cysts in the spleen have been reported. The authors report a rare ectopic pancreatic cystadenoma. Case Report: 48-year-old, Japanese-born, female patient, transferred from the private hospital to Osaka City University Medical College for 2 years because of upper left abdominal mass with mild pain and progressive fatigue. The patient had been treated in this private hospital for 8 years due to diabetes and hypertension. He had no gallstone disease, trauma, kidney disease, bleeding disorders, and intestinal dysfunction. Inpatient examinations: blood pressure 146/80, pulse 72 beats/min, breathing 16/min. An abdominal examination revealed a 12×20 cm round mass under the left rib, which crossed the midline. The tumor is soft, no pulsation, and the deep inspiration can move downwards. Except for fasting blood glucose of 275% and white blood cell count of 90000/mm~2, all other tests were in the normal range. Chest X-rays are normal. Upper gastrointestinal angiography shows large curvature of the stomach