History of Medical Sciences, Poznan University of Medical Sciences, ul. Przybyszewskiego 37A, 61-111, Poznan, Poland.
World J Surg. 2013 Mar;37(3):545-50. doi: 10.1007/s00268-012-1880-x.
Wandering spleen is a rare condition in which the spleen is not located in the left upper quadrant but is found lower in the abdomen or in the pelvic region because of the laxity of the peritoneal attachments. Many patients with wandering spleen are asymptomatic, hence the condition can be discovered only by abdominal examination or at a hospital emergency department if a patient is admitted to hospital because of severe abdominal pain, vomiting or obstipation.
This article aims to provide a historical overview of wandering spleen diagnostics and surgical treatment supplemented with an analyses of articles on wandering spleen included in the PubMed database.
One of the first clinical descriptions of a wandering spleen was written by Józef Dietl in 1854. The next years of vital importance are 1877 when A. Martin conducted the first splenectomy and in 1895 when Ludwik Rydygier carried out the first splenopexy to immobilize a wandering spleen. Since that time various techniques of splenectomy and splenopexy have been developed.
Introducing medical technologies was a watershed in the development and treatment of wandering spleen, which is confirmed by the PubMed database. Despite the increased number of publications medical literature shows that a wandering spleen still remains a misdiagnosed condition, especially among children.
游走脾是一种罕见的病症，由于腹膜附着松弛，脾脏不在左上象限，而位于腹部较低处或盆腔。许多游走脾患者无症状，因此只有通过腹部检查或患者因严重腹痛、呕吐或便秘而住院时在医院急诊才能发现这种病症。
本文旨在提供游走脾诊断和手术治疗的历史概述，并结合 PubMed 数据库中关于游走脾的文章进行分析。
游走脾的首次临床描述之一是 1854 年由 Józef Dietl 撰写的。接下来的重要年份是 1877 年，A. Martin 进行了首次脾切除术，以及 1895 年 Ludwik Rydygier 进行了首次脾固定术以固定游走脾。此后，各种脾切除术和脾固定术技术不断发展。
引进医疗技术是游走脾发展和治疗的一个分水岭，这一点从 PubMed 数据库中可以得到证实。尽管发表的文献数量有所增加，但游走脾仍然是一种误诊的病症，尤其是在儿童中。
