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患者,男,48岁,因左上腹不适1月入院。查体:左上腹轻压痛,于左上腹可扪及一包块,大小200mm×150mm,质中,活动差,轻压痛,肝脏、脾脏肋下未触及,Murphy(-)。血常规:WBC6.82×109/L,RBC4.92×1012/L,Hb149g/L,PLT108×109/L。超声检查:脾脏形态失常,呈一巨大无回声改变,范围20.0cm×6.9cm×14.2cm,向下延伸至膀胱上方,形态不规则,边界清,内可见网格状分隔光带,呈多房样改变,部分无回声区内可见细弱光点,后方回声增强(见图1),肝、
Patient, male, 48 years old, admitted to hospital on January due to left upper quadrant discomfort. Examination: left upper quadrant mild tenderness, palpable mass in the left upper quadrant, size 200mm × 150mm, quality, poor activity, mild tenderness, liver, spleen ribs untouched, Murphy (-). Blood: WBC6.82 × 109 / L, RBC4.92 × 1012 / L, Hb149g / L, PLT108 × 109 / L. Ultrasonography: Spleen morphology abnormalities showed a huge echo-free changes, the range of 20.0cm × 6.9cm × 14.2cm, extending down to the top of the bladder, the shape irregular, clear boundary, the grid can be seen within the separation of light with multi-room Like to change, some of the anechoic area can be seen thin light spots, the rear echo enhancement (see Figure 1), liver,