Suthar Tejas, Banker Hiral, Shah Mukesh, Thakkar Gurudatt
Radiology Department, VSGH, Ahmedabad, Gujarat, India.
BMJ Case Rep. 2012 Aug 14;2012:bcr0220125831. doi: 10.1136/bcr.02.2012.5831.
A rare case of spontaneous splenic infarction with polysplenia and situs inversus is presented. The diagnosis was made by ultrasound and confirmed by CT which showed multiple aberrant right-sided spleens with situs inversus and one of the spleen showing low attenuation areas representing infarct. Polysplenia syndrome is a rare entity associated with heterotaxy syndromes, congenital cyanotic heart diseases, billiary atresia, intestinal malrotation, immotile cilia syndrome, annular or short pancreas, preduodenal portal vein and vena caval anomalies.
本文报告一例罕见的自发性脾梗死合并多脾畸形及内脏反位病例。通过超声做出诊断,并经CT证实,CT显示多个位于右侧的异常脾脏伴内脏反位,其中一个脾脏有代表梗死的低密度区。多脾综合征是一种罕见的疾病,与内脏异位综合征、先天性青紫型心脏病、胆道闭锁、肠旋转不良、纤毛不动综合征、环状或短胰腺、十二指肠前门静脉和腔静脉异常有关。