患者女 ,72岁 ,左上腹痛 5天。门诊 B超检查肝脏、胆囊无异常。脾脏形态不正常 ,向内下方突起一个不规则低回声团块 ,大小约为 16 4mm× 10 9mm,边缘模糊 ,其内部回声高低不均 ,并可见网络状结构 (图 1) ,脾门区脾静脉内径 12 mm,内见大小约 2 0 mm× 12 mm的几乎充满脾静脉管 The patient was female, 72 years old, and had a left upper abdominal pain for 5 days. Outpatients B-ultrasonography showed no abnormalities in the liver and gallbladder. The spleen was abnormal in shape, with an irregular hypoechoic mass projecting inward and downward. The size was approximately 16 4 mm × 10 9 mm. The edges were blurred. The internal echo was uneven and a network-like structure was seen (Fig. 1). The internal diameter of the vein is 12 mm, and the almost filled splenic vein tube is approximately 20 mm in size and 12 mm in diameter.