Bouassida Mahdi, Sassi Selim, Chtourou Mohamed Fadhel, Bennani Noomen, Baccari Sonia, Chebbi Fathi, Benali Mechaal, Mighri Mohamed Mongi, Touinsi Hassen, Sassi Sadok
Department of surgery, Mohamed Thahar Maamouri Hospital, Nabeul, Tunisia.
Pan Afr Med J. 2012;11:31. Epub 2012 Feb 21.
Wandering spleen is a rare condition characterized by the absence or underdevelopment of one or all of the ligaments that hold the spleen in its normal position in the left upper quadrant of the abdomen. It is an uncommon clinical entity that mainly affects children. Among adults it most frequently affects women of reproductive age, in whom acquired laxity of the splenic ligaments is usually the cause. Patients with a wandering spleen may be asymptomatic, present with a movable mass in the abdomen, or have chronic or intermittent abdominal pain because of partial torsion and spontaneous detorsion of the spleen. A 26-year-old woman was admitted to our hospital with vomiting and abdominal pain. Abdominal examination revealed a large ovoid hypogastric mass. A CT scan showed a wandering spleen in the hypogastric region. Exploratory laparotomy revealed an ischemic spleen. A total splenectomy was performed.
游走脾是一种罕见病症，其特征为固定脾脏于左上腹正常位置的一条或所有韧带缺如或发育不全。它是一种不常见的临床病症，主要影响儿童。在成人中，它最常影响育龄女性，后天性脾韧带松弛通常是其病因。游走脾患者可能无症状，也可能表现为腹部可移动肿块，或因脾脏部分扭转和自行复位而出现慢性或间歇性腹痛。一名26岁女性因呕吐和腹痛入院。腹部检查发现下腹部有一个大的椭圆形肿块。CT扫描显示下腹部区域有一个游走脾。剖腹探查发现脾脏缺血。遂行全脾切除术。
