Impellizzeri Pietro, Montalto Angela S, Borruto Francesca A, Antonuccio Pietro, Scalfari Gianfranco, Arena Francesco, Romeo Carmelo
Unit of Pediatric Surgery - University of Messina, 98124 Messina, Italy.
J Pediatr Surg. 2009 Sep;44(9):e15-8. doi: 10.1016/j.jpedsurg.2009.06.029.
Torsion of an accessory spleen is an extremely rare condition. We describe an unusual case of acute abdomen caused by torsion of an accessory spleen in a 12-year-old boy. The patient underwent a laparotomy with splenectomy; the course was favorable. We discuss the clinical findings and values of preoperative instrumental diagnosis. The literature is also reviewed. This is the 11th case reported in the English literature. Torsion of an accessory spleen should be considered in the differential diagnosis of acute abdomen or subacute abdominal pain.
副脾扭转是一种极其罕见的病症。我们描述了一名12岁男孩因副脾扭转导致急腹症的不寻常病例。该患者接受了剖腹脾切除术，术后恢复良好。我们讨论了临床发现及术前器械诊断的价值，并对相关文献进行了综述。这是英文文献中报道的第11例病例。在急腹症或亚急性腹痛的鉴别诊断中应考虑副脾扭转。
