Sudák M, Drahovský P
1 Oddelenie detskej chirurgie DFN Kosice, Slovenská republika.
Rozhl Chir. 2011 Dec;90(12):701-4.
Early diagnosis the torsion of wandering spleen and surgical intervention are necessary to preserve the spleen, because persistant torsion can lead to splenic infarction. We present two cases with torsion of wandering spleen and different disease process and result. Diagnosis was by ultrasonography and CT angiography found. The 7-year-old boy with recurrent abdominal pain was admitted early and operated with spleenpreserving splenopexy. The 8-year-old girl with acute torsion of a wandering spleen was sent of after an initial misdiagnosis too late. Patient was managed by urgent laparotomy and splenectomy, because of splenic vessels thrombosis and splenic infarction. No complications occurred during two year postoperative follow up period of both patients.
早期诊断游走脾扭转并进行手术干预对于保留脾脏是必要的，因为持续扭转可导致脾梗死。我们报告两例游走脾扭转病例，其病程和结果各异。通过超声检查和CT血管造影进行诊断。一名7岁反复腹痛男孩早期入院，接受了保留脾脏的脾固定术。一名8岁游走脾急性扭转女孩在最初误诊后转诊过晚。由于脾血管血栓形成和脾梗死，患者接受了紧急剖腹手术和脾切除术。两名患者术后两年随访期间均未发生并发症。
