Montenovo Martin I, Ahad Sajida, Oelschlager Brant K
Department of Surgery, University of Washington, WA, USA.
Surg Laparosc Endosc Percutan Tech. 2010 Oct;20(5):e182-4. doi: 10.1097/SLE.0b013e3181f69ce2.
Wandering spleen is a rare condition in which the spleen lacks retroperitoneal fixation, thus its vascular pedicle can twist resulting in ischemia. Although splenectomy has traditionally been used for this condition, splenopexy is increasingly used in the pediatric population to anchor the spleen and preserve splenic function. We report an unusual case of wandering spleen in an adult with chronic torsion managed with laparoscopic splenopexy, suggesting splenic preservation is possible in adults with this presentation as well.
游走脾是一种罕见的病症，脾脏缺乏腹膜后固定，因此其血管蒂可能发生扭转导致缺血。虽然传统上一直采用脾切除术治疗这种病症，但在儿科人群中越来越多地使用脾固定术来固定脾脏并保留脾功能。我们报告了一例成年游走脾伴慢性扭转的罕见病例，采用腹腔镜脾固定术进行治疗，提示对于有此表现的成年人也有可能保留脾脏。
