Irak Kader, Esen Irfan, Keskın Murat, Emınler Ahmet Tarık, Ayyildiz Talat, Kaya Ekrem, Kiyici Murat, Gürel Selim, Nak Selim Giray, Gülten Macit, Dolar Enver
Departments of, Gastroenterology, Uludağ University, School of Medicine, Bursa.
Turk J Gastroenterol. 2011 Feb;22(1):93-7. doi: 10.4318/tjg.2011.0165.
Wandering spleen is the displacement of the spleen from its normal location due to the loss or weakening of ligaments that hold the spleen in the left upper quadrant. The possibility of torsion of the spleen is high due to the long and mobile nature of the vascular pedicle. Generally, cases are asymptomatic. Under conditions of delayed diagnosis, symptoms of splenomegaly, left portal hypertension, gastric fundal varices, and hypersplenism may present as a result of development of vascular congestion associated with chronic torsion. There are only a few cases in the literature reporting the association of wandering spleen and fundal varices. We report herein the case of a 55-year-old female who admitted to our clinic with complaints of fatigue and epigastric pain. She was determined to have gastric fundal varices and hypersplenism secondary to the development of left portal hypertension due to chronic splenic torsion.
游走脾是指脾脏因固定于左上腹的韧带缺失或松弛而从正常位置移位。由于脾血管蒂长且活动度大，脾脏扭转的可能性很高。一般来说，病例多无症状。在诊断延迟的情况下，由于慢性扭转导致血管充血，可能会出现脾肿大、左门静脉高压、胃底静脉曲张和脾功能亢进等症状。文献中仅有少数病例报道游走脾与胃底静脉曲张有关。我们在此报告一例55岁女性，因疲劳和上腹部疼痛就诊于我院。经诊断，她因慢性脾扭转导致左门静脉高压，继发胃底静脉曲张和脾功能亢进。
