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病例资料患者,女,42岁,因间断右上腹痛1年,加重1月入院。患者有胆囊结石伴慢性胆囊炎病史1年,未予重视。1个月前因症状加重,遂住院治疗。入院查体:腹部无阳性体征。腹部CT检查示:胆囊结石、胆囊炎;脾脏实质内可见一囊性病灶,约3.4 cm×3.4 cm大,边界清楚,圆形,边缘可见蛋壳样钙化,未见强化(图1)。经多学科查房考虑脾脏囊性病变系寄生虫或肉芽肿性炎变可能性大,决定行腹
Case data, female, 42 years old, due to intermittent right upper quadrant pain for 1 year, increased in January admission. Patients with gallstone and chronic cholecystitis with a history of 1 year, did not pay attention. 1 month ago due to increased symptoms, then hospitalized. Admission examination: no positive abdominal signs. Abdominal CT examination showed: gallstones and cholecystitis. A cystic lesion was seen in the spleen, about 3.4 cm × 3.4 cm in size. The border was clear, round, and eggshells were calcified at the edge without any enhancement (Figure 1). After multidisciplinary rounds of examination of cystic lesions of the spleen parasites or granulomatous inflammation is likely to determine the abdomen