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一种罕见的慢性腹痛病因:副脾反复扭转。

A rare cause of chronic abdominal pain: recurrent sub-torsions of an accessory spleen.

机构信息

Department of General, Digestive and Endocrine Surgery, Hôpital Robert-Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France,

出版信息

J Gastrointest Surg. 2013 Oct;17(10):1893-6. doi: 10.1007/s11605-013-2239-9. Epub 2013 Jun 13.

DOI:10.1007/s11605-013-2239-9
PMID:23760734
Abstract

Accessory spleen is defined as one, two, or three nodules of additional ectopic splenic parenchyma hung by a vascular pedicle generally near the spleen. Despite a relatively high frequency (from 10 to 30 % of the population based on autopsy studies), most accessory spleens are asymptomatic. Although cases of accessory spleen were clearly described in the literature, this perplexing diagnosis is often delayed and rarely made preoperatively. We report episodic recurrences of abdominal pain in a 66-year-old man attributed to iterative sub-torsions of an accessory spleen, as well as a comprehensive review of the literature.

摘要

副脾是指通过一条血管蒂附着于脾脏附近的单个、两个或三个额外异位脾组织结节。尽管副脾的相对发生率较高(基于尸检研究,为人群的 10%至 30%),但大多数副脾是无症状的。尽管文献中已清楚描述了副脾病例,但这种令人困惑的诊断常常被延迟,且很少在术前做出。我们报告了 1 例 66 岁男性的间歇性腹痛反复发作,归因于副脾的反复扭转,同时对文献进行了全面回顾。

相似文献

1
A rare cause of chronic abdominal pain: recurrent sub-torsions of an accessory spleen.一种罕见的慢性腹痛病因:副脾反复扭转。
J Gastrointest Surg. 2013 Oct;17(10):1893-6. doi: 10.1007/s11605-013-2239-9. Epub 2013 Jun 13.
2
Splenic torsion: a rare cause of abdominal pain.脾扭转:腹痛的罕见原因。
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3
Torsion of accessory spleen in an adult patient: imaging findings at CT, MRI and angiography.成年患者副脾扭转:CT、MRI及血管造影的影像学表现
J Belge Radiol. 1997 Oct;80(5):229-30.
4
[Chronic torsion of an ectopic spleen in the differential diagnosis of abdominal pain in a child. Case report].[儿童腹痛鉴别诊断中异位脾脏慢性扭转。病例报告]
Rozhl Chir. 1996 Oct;75(10):480-1.
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Colonic obstruction caused by accessory spleen torsion: A rare case report and literature review.副脾扭转导致的结肠梗阻:一例罕见病例报告及文献复习
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[Torsion of wandering spleen. An unusual case of abdominal pain].[游走脾扭转。一例不寻常的腹痛病例]
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[Splenic torsion in a patient with ectopic spleen].[异位脾患者的脾扭转]
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Intraperitoneal hemorrhage due to accessory spleen torsion: Case report.副脾扭转导致的腹腔内出血:病例报告
Radiol Case Rep. 2024 Nov 22;20(2):903-908. doi: 10.1016/j.radcr.2024.10.115. eCollection 2025 Feb.
2
Rupture of an accessory spleen caused by blunt trauma.钝器外伤导致副脾破裂。
Eur J Trauma Emerg Surg. 2024 Oct;50(5):2165-2170. doi: 10.1007/s00068-024-02591-y. Epub 2024 Jul 9.
3
A case of symptomatic intramesenteric accessory spleen: The diagnostic role of contrast-enhanced ultrasound.一例有症状的肠系膜内副脾:超声造影的诊断作用

本文引用的文献

1
Laparoscopic excision of infarcted accessory spleen.腹腔镜下切除梗死的副脾。
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2
Accessory spleen torsion: rare cause of acute abdomen in children and review of literature.副脾扭转:儿童急腹症的罕见病因及文献综述
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Symptomatic pelvic accessory spleen.有症状的盆腔副脾。
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The real cause of right lower abdominal pain: an analysis of ultrasonographic findings.右下腹痛的真正原因:超声检查结果分析。
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Infarcted accessory spleen masquerading as a mesenteric cyst.梗死性副脾伪装成肠系膜囊肿。
BMJ Case Rep. 2018 Aug 16;2018:bcr-2018-226130. doi: 10.1136/bcr-2018-226130.
6
Colonic obstruction caused by accessory spleen torsion: A rare case report and literature review.副脾扭转导致的结肠梗阻:一例罕见病例报告及文献复习
Medicine (Baltimore). 2017 Sep;96(39):e8116. doi: 10.1097/MD.0000000000008116.
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Right sided spleen laying retro-duodenal: A case report and review of the literature.十二指肠后位右侧脾脏:一例报告并文献复习
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Accessory splenic tissue producing indentation of the gastric fundus resembling gastric neoplasm.副脾组织致使胃底出现压迹,类似胃部肿瘤。
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Surg Endosc. 2002 Aug;16(8):1242-3. doi: 10.1007/s00464-001-4241-7. Epub 2002 May 23.
7
CT findings in congenital anomalies of the spleen.脾脏先天性异常的CT表现。
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[Torsion of an accessory spleen].[副脾扭转]
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