脾扭转：一例病例报告。
Splenic torsion: a case report.
作者信息
Hussain M, Deshpande R, Bailey S T R
机构信息
Department of Surgery, Maidstone Hospital, Maidstone, UK.
出版信息
Ann R Coll Surg Engl. 2010 Jul;92(5):W51-2. doi: 10.1308/147870810X12699662980592. Epub 2010 Jun 7.
INTRODUCTION
Torsion of the spleen is a rare cause of abdominal pain. Predisposition occurs following abnormal development of splenic suspensory ligaments. We report a case of splenic torsion in a spleen sited in a normal anatomical position and discuss the latest treatment options. To the best of our knowledge, this has not been reported in the literature to date.
CASE PRESENTATION
A 73-year-old Caucasian woman presented to our department with sudden onset, severe, left-upper abdominal pain. An enhanced computed tomography revealed an unenhancing spleen. She underwent an urgent laparotomy and splenectomy for 360 degrees torsion of her spleen.
CONCLUSIONS
Splenic torsion in a wandering spleen has been described with an incidence of < 0.2%. Symptoms vary from asymptomatic to an acute surgical abdomen. Diagnosis is commonly made using colour Doppler sonography or enhanced computed tomography. Surgery is guided by clinical setting, with preservation of the spleen as the goal.
引言
脾扭转是腹痛的罕见原因。脾悬韧带发育异常后易发生。我们报告一例位于正常解剖位置的脾脏发生脾扭转的病例，并讨论最新的治疗选择。据我们所知，迄今为止文献中尚未有此报道。
病例介绍
一名73岁的白种女性因突发严重左上腹疼痛就诊于我院。增强计算机断层扫描显示脾脏无强化。她因脾脏360度扭转接受了紧急剖腹手术和脾切除术。
结论
游走脾发生脾扭转的发生率<0.2%。症状从无症状到急性急腹症不等。诊断通常采用彩色多普勒超声或增强计算机断层扫描。手术以临床情况为指导，目标是保留脾脏。
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