患者男,24岁。超声检查发现脾脏占位性病变半年余。患者无不良主诉,否认外伤史,否认家族性遗传病史。超声检查发现脾脏增大,上极见一大小约7.8cm×7.0cm的混合回声区,边界尚清,形态规则,内回声不均匀,可见不规则片状无回声区,彩色多普勒显示周边环绕及内部棒状血流信号(图1~2)。超声提示:脾脏占位性病变,首先考虑血管瘤。术后病理结果:脾脏血管瘤。 Patient male, 24 years old. Ultrasound examination found that space-occupying lesions more than six months. Patients without adverse chief complaint, denied the history of trauma, deny the family history of genetic disease. Ultrasound examination showed that the spleen was enlarged, and a mixed echo area of ​​about 7.8cm × 7.0cm was found on the most extreme. The boundaries were clear and the morphology was regular. The echo within the echo was not uniform, and the irregular echo-like area was seen. The periphery of the color Doppler display Surround and internal rod-like blood flow signal (Figure 1 ~ 2). Ultrasound Tip: Spleen occupying lesions, first consider hemangioma. Postoperative pathological results: splenic hemangioma.