Romero Jennifer R, Barksdale Edward M
Department of Pediatrics, Children's Hospital of Pittsburgh, PA 15213-2583, USA.
Pediatr Emerg Care. 2003 Dec;19(6):412-4. doi: 10.1097/01.pec.0000101582.65509.cc.
Torsion of a wandering spleen is a rare cause of abdominal pain in children. The most common presentation is acute abdominal pain, although signs and symptoms vary widely. Due to the risk of splenic infarction, rapid and accurate diagnosis is essential. Wandering spleen and splenic torsion can be diagnosed by Doppler ultrasound and CT scan. Treatment options include splenopexy or splenectomy. This case describes a 9-year-old girl with torsion of a wandering spleen, complicated by splenic infarction and managed by splenectomy.
游走脾扭转是儿童腹痛的罕见原因。最常见的表现是急性腹痛，尽管体征和症状差异很大。由于存在脾梗死的风险，快速准确的诊断至关重要。游走脾和脾扭转可通过多普勒超声和CT扫描进行诊断。治疗选择包括脾固定术或脾切除术。本病例描述了一名9岁女孩，患有游走脾扭转，并发脾梗死，接受了脾切除术治疗。
