Chu Jianping, Li Ziping, Luo Boning, Yang Jianyong
Department of Diagnostic Radiology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China.
Acta Radiol. 2011 Oct 1;52(8):911-3. doi: 10.1258/ar.2011.100504. Epub 2011 Aug 4.
Wandering spleen is rare and is associated with a high incidence of splenic torsion and infarction. Presenting symptoms range from an asymptomatic, incidentally palpated abdominal mass to an acutely ill patient. Because wandering spleen is uncommon in the pediatric population, a heightened awareness of the condition is required for accurate diagnosis and appropriate management. We present a case of a 4-year-old girl who presented with acute abdomen and was surgically confirmed to have a wandering spleen with torsion and complete infarction.
游走脾较为罕见,且脾扭转和梗死的发生率较高。其临床表现多样,从偶然触诊发现的无症状腹部肿块到急重症患者。由于游走脾在儿科人群中并不常见,因此需要提高对该病的认识,以便准确诊断和妥善处理。我们报告一例4岁女童,以急腹症就诊,手术证实为游走脾伴扭转及完全梗死。