Alshukry Sabah Moosa
Department of Surgery, Rustaq Hospital, Sultanate of Oman.
Oman Med J. 2008 Oct;23(4):287-8.
A young male presented with acute abdominal pain of 4 days. Treated as appendicular mass, which did not responds to conservative management. Ultra Sound scan and CT abdomen failed to give a definite diagnosis of the tender fixed mass in lower abdomen. Laparotomy proved the mass to be an engorged large spleen twisted on its long vascular pedicle, the ischemic spleen adherent to bowel loops and posterior peritoneum. Splenectomy performed. Postoperative reactionary hemorrhage required re-exploration and clearance of clots. Patient had uneventful recovery.
一名年轻男性出现了持续4天的急性腹痛。最初按阑尾周围脓肿治疗，但保守治疗无效。腹部超声扫描和CT检查均未能明确诊断下腹部压痛性固定肿块的性质。剖腹探查发现该肿块是一个因长血管蒂扭转而充血肿大的脾脏，缺血的脾脏与肠袢及后腹膜粘连。遂行脾切除术。术后出现反应性出血，需要再次剖腹探查并清除血块。患者术后恢复顺利。
