Jonisch Ari I, Hojman Horacio, Yeo Heather, Bokhari Syed A J
Department of Diagnostic Imaging, Yale New Haven Hospital, New Haven, CT 06510, USA.
Emerg Radiol. 2007 Jun;14(2):123-5. doi: 10.1007/s10140-007-0590-4. Epub 2007 Feb 28.
A 38-year-old woman presented with abdominal pain and left shoulder pain. A computed tomography scan was obtained, which demonstrated a rounded soft tissue density with surrounding stranding. It was interpreted as an infarcted splenule. Due to the increasing severity of the patient's symptoms, a laparoscopic exploration was performed. Pathology demonstrated an infarcted splenule. As infarcted splenules are rare, an understanding of its pathogenesis and familiarity with the corresponding imaging findings may be helpful for its diagnosis in the patient with the appropriate clinical scenario. It is important to recognize this entity as a cause of abdominal pain that can be managed nonsurgically.
一名38岁女性因腹痛和左肩疼痛就诊。进行了计算机断层扫描，显示出一个圆形软组织密度影，周围有条索状影。诊断为梗死性副脾。由于患者症状逐渐加重，遂进行了腹腔镜探查。病理显示为梗死性副脾。由于梗死性副脾罕见，了解其发病机制并熟悉相应的影像学表现，可能有助于在合适的临床情况下对患者进行诊断。认识到这一实体是腹痛的一个可非手术治疗的病因很重要。
