幼儿腹痛与游走脾：早期诊断的重要性
Abdominal pain and wandering spleen in young children: the importance of an early diagnosis.
作者信息
Di Crosta Ida, Inserra Alessandro, Gil Carlos Pueyo, Pisani Mara, Ponticelli Antonio
机构信息
Department of Pediatric Surgery, University Hospital Joan XXIII, 43007, Tarragona, Spain.
出版信息
J Pediatr Surg. 2009 Jul;44(7):1446-9. doi: 10.1016/j.jpedsurg.2009.02.062.
PURPOSE
The aim of the study is to increase clinical awareness of torsion of wandering spleen (WS) in childhood and the need of a rapid diagnosis.
METHODS
Four cases operated for torsion of WS are retrospectively reviewed. Ages at presentation were, respectively, 30 months, 5 years, 4 years, and 3 years, without sex preference. All subjects led a history of abdominal pain and a mass on physical examination.
RESULTS
Torsion of WS should be suspected in any child presenting with acute abdomen. Moreover, in case of acute abdomen and intermittent abdominal pain, we suggest studying spleen position with ultrasound.
CONCLUSIONS
Ultrasonography with color Doppler is the best choice for diagnosis of torsion of WS. Computed tomography is a good complementary examination, but it needs to submit young patients to a general anesthesia and delays an emergency situation.
目的
本研究旨在提高对儿童游走脾（WS）扭转的临床认识以及快速诊断的必要性。
方法
回顾性分析4例因WS扭转而接受手术的病例。就诊时年龄分别为30个月、5岁、4岁和3岁，无性别差异。所有患者均有腹痛病史且体格检查可触及肿块。
结果
任何出现急腹症的儿童都应怀疑有WS扭转。此外，对于急腹症和间歇性腹痛的情况，我们建议用超声检查脾脏位置。
结论
彩色多普勒超声是诊断WS扭转的最佳选择。计算机断层扫描是一种很好的辅助检查，但它需要对年轻患者进行全身麻醉，且会延误紧急情况的处理。
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