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病例资料患者,女,50岁,因“左上腹隐痛4个月”入院。入院查体:左上腹叩击痛,放射至肩背部,脾肋下可扪及。实验室检查(肝肾功、血常规、凝血功能、肿瘤标志物等)未见异常。上腹部CT检查示:脾脏增大,脾脏内见多发类圆形低密度区,最大者直径为30 mm,边界不清,平扫CT值为35 HU,增强扫描时轻度强化(图1)。初步诊断为脾脏多发占位,遂行脾切除术。术中见脾脏色泽暗红,大小约
Case information patients, female, 50 years old, because of “left upper quadrant pain for 4 months ” admission. Admission examination: left peritoneal percussion pain, radiation to the shoulder back, the spleen ribs palpable. Laboratory tests (liver and kidney function, blood, coagulation, tumor markers, etc.) showed no abnormalities. CT examination of the upper abdomen showed that the spleen was enlarged and multiple circular low-density areas were seen in the spleen. The largest diameter was 30 mm. The boundary was unclear. The CT scan value was 35 HU. . The initial diagnosis of multiple splenectomy, splenectomy. Intraoperative see dark red spleen, the size of about