Upadhyaya Prashant, St Peter Shawn D, Holcomb George W
Department of Surgery, Children's Mercy Hospital, Kansas City, MO 64108, USA.
J Pediatr Surg. 2007 May;42(5):E23-7. doi: 10.1016/j.jpedsurg.2007.03.001.
Wandering spleen is an uncommon condition, which can present emergently in children. Similarly, nonparasitic splenic cysts are also rarely encountered. In this report, we describe a massive wandering spleen (22 cm in longitudinal dimension) with a pseudocyst (4.6 x 2 cm) in the inferior pole in an asymptomatic 16-year-old adolescent. Only 4 similar cases have been reported in the literature; 2 of them have been in the pediatric age group. These 2 conditions were diagnosed while she was being evaluated for dysmenorrhea, and she was referred for surgical consultation. The cyst was excised laparoscopically, and the spleen was placed into an extraperitoneal pouch. To date, there are no other reports describing laparoscopic cystectomy and splenopexy in a teenager.
游走脾是一种罕见病症，可在儿童中紧急出现。同样，非寄生虫性脾囊肿也很少见。在本报告中，我们描述了一名16岁无症状青少年，其患有巨大游走脾（纵径22厘米），在下极有一个假性囊肿（4.6×2厘米）。文献中仅报道了4例类似病例，其中2例为儿童年龄组。这两种病症是在她因痛经接受评估时被诊断出来的，随后她被转诊进行外科会诊。通过腹腔镜切除了囊肿，并将脾脏放入腹膜外袋中。迄今为止，尚无其他关于青少年腹腔镜囊肿切除术和脾固定术的报道。
