Clinic of Surgery, University Clinical Center of Kosova, Prishtina, Kosova.
World J Emerg Surg. 2013 Aug 5;8(1):30. doi: 10.1186/1749-7922-8-30.
Wandering spleen is a very rare defect characterized by the absence or weakness of one or more of the ligaments that hold the spleen in its normal position in the upper left abdomen. Patient symptomatology is variable and ranges from mere feeling of an abdominal lump to sudden abdominal pain due to infarction. Patients may have subacute to chronic abdominal or gastrointestinal complaints. Because of nonspecific symptoms, clinical diagnosis can be difficult; hence, imaging plays an important role. A major complication is splenic torsion, which is the cause of acute abdomen. We present a case of acute abdominal pain due to torsion of wandering spleen in a patient with Marfan Syndrome, valvular heart disease, and vertebral anomalies. Preoperative diagnosis was made on the basis of ultrasonography and computed tomography, which was later confirmed on surgery, and treated successfully.
游走脾是一种非常罕见的缺陷，其特征是缺乏或减弱了将脾脏固定在左上腹部正常位置的一条或多条韧带。患者的症状多种多样，从仅仅感觉到腹部肿块到因梗死导致突发性腹痛。患者可能会有亚急性至慢性腹部或胃肠道不适。由于症状不典型，临床诊断可能较为困难；因此，影像学发挥着重要作用。主要并发症是脾扭转，这是急性腹痛的原因。我们报告了一例马凡综合征、瓣膜性心脏病和脊柱异常患者因游走脾扭转导致的急性腹痛。术前诊断基于超声和计算机断层扫描，随后在手术中得到证实，并成功治疗。
