Amer Hoda Zeinab, Chin Channing, Clarke Kevin, Heller Debra
Department of Pathology and Laboratory Medicine, University of Medicine and Dentistry of New Jersey--New Jersey Medical School, Newark, New Jersey 07101, USA.
J Minim Invasive Gynecol. 2007 Sep-Oct;14(5):660-2. doi: 10.1016/j.jmig.2007.04.016.
Wandering or ectopic spleen is an exceptionally rare condition. Because of the abnormally long pedicle, an ectopic spleen is prone to torsion and infarction. Patients can present with abdominal pain or an acute abdomen. The incidence is over a wide age range, but it occurs with a female predominance in the third to fifth decades. We present a case in a 26-year-old female of an infarcted ectopic spleen, initially thought to be a retroperitoneal mass on computed tomography scan, but found at surgery in the lower abdomen. The minimally invasive gynecologic surgeon needs to be aware of this entity, which may rarely be encountered.
游走脾或异位脾是一种极为罕见的病症。由于脾蒂异常长,异位脾易于发生扭转和梗死。患者可表现为腹痛或急腹症。其发病率在广泛的年龄范围内都有发生,但在30至50岁的女性中更为常见。我们报告一例26岁女性梗死性异位脾病例,最初在计算机断层扫描中被认为是腹膜后肿块,但在手术中发现位于下腹部。微创妇科外科医生需要了解这种可能很少遇到的情况。