一例扭转游走脾：病例报告
A torted wandering spleen: a case report.
作者信息
Sharma Aman, Salerno Gisella
机构信息
FY2 in Paediatric Surgery at John Radcliffe, Headley Way, Oxford OX3 9DU, UK.
出版信息
J Med Case Rep. 2014 May 1;8:133. doi: 10.1186/1752-1947-8-133.
INTRODUCTION
A torted wandering spleen is a rare clinical occurrence with fewer than 500 cases reported and an incidence of less than 0.2%. It is brought about through laxity of the gastrosplenic and splenorenal ligaments; however, the precise aetiology remains unknown. It can prove to be a diagnostic challenge with high mortality if misdiagnosed.
CASE PRESENTATION
We present the case of a 27-year-old woman of Arabic ethnicity, who complained of a short history of severe abdominal pain with the background of recurrent abdominal pain and vomiting. An abdominal computerized tomography scan revealed a torted wandering spleen. This required a splenectomy due to splenic infarction.
CONCLUSION
This report highlights the investigations and management necessary for a patient who presents with an ischaemic torted wandering spleen.
引言
扭转的游走脾是一种罕见的临床情况，报告病例少于500例，发病率低于0.2%。它是由胃脾韧带和脾肾韧带松弛引起的；然而，确切病因尚不清楚。如果误诊，它可能成为一个诊断挑战，死亡率很高。
病例介绍
我们报告一例27岁的阿拉伯族裔女性病例，她主诉近期有严重腹痛病史，伴有反复腹痛和呕吐。腹部计算机断层扫描显示为扭转的游走脾。由于脾梗死，需要进行脾切除术。
结论
本报告强调了对出现缺血性扭转游走脾患者进行的检查和管理。
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