Diel R, Hamborg V
Medizinische Abteilung Allgemeinen Krankenhauses Hamburg-Bergedorf.
Ultraschall Med. 1991 Dec;12(6):297-300. doi: 10.1055/s-2007-1005948.
A woman patient of 25 years of age was admitted with a tumour in the right meogastrium that was painful on pressure, the clinical pattern being that of an acute abdomen. At exploratory laparotomy we were surprised to find haemorrhagic infarction of a second spleen by volvulus of the vascular peduncle. Preoperative imaging had not yielded any pointer despite documentation of multiple positional anomalies of visceral organs, since the polysplenic status was exceptionally located at the right side. If abdominal findings on the right side cannot be interpreted quite clearly, differential diagnosis should always consider the possibility of unusual embryonal lateral positioning of organs.
一名25岁女性患者因右中腹部有一压痛性肿瘤入院，临床表现为急腹症。在剖腹探查术中，我们惊讶地发现一个副脾因血管蒂扭转而发生出血性梗死。尽管术前影像学检查记录了内脏器官的多种位置异常，但由于多脾状态异常位于右侧，并未发现任何提示。如果右侧腹部的检查结果不能很清楚地解释，鉴别诊断时应始终考虑器官胚胎期异常侧位的可能性。
