1病例介绍患者男,61岁,因“左上腹疼痛伴乏力4个月”于2012年7月6日入院。患者无腹泻、畏寒、发热,仅有轻度疼痛不适,疼痛从左上腹向后放射至左背部。患者既往无化学和放射治疗史,无血小板减少病史。因为上腹部影像学表现考虑脾脏恶性肿瘤伴肝转移并有脾破裂的风险,患者接受了脾切除术。术后CT检查提示:肝脏多发占位性小病灶及肋骨的骨质破坏。此外,患者在患病以来合并血小板减少,接受手术切除脾脏前以 1 case description Male patient, 61 years old, due to “left upper quadrant pain with fatigue for 4 months ” on July 6, 2012 admission. Patients with no diarrhea, chills, fever, only mild pain and discomfort, pain from the left upper back radiate to the left back. The patient had no past history of chemotherapy and radiotherapy, no history of thrombocytopenia. The patient underwent splenectomy because of the imaging findings of the upper abdomen considering the splenic malignancy with liver metastases and the risk of rupture of the spleen. Postoperative CT examination prompts: the liver multiple occupying small lesions and ribs bone destruction. In addition, patients with thrombocytopenia since the onset of disease, before surgery to remove the spleen