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胰腺扭转合并游走脾和胃扭转:外科急症中急性腹痛的一种罕见三联征。

Pancreatic volvulus with wandering spleen and gastric volvulus: an unusual triad for acute abdomen in a surgical emergency.

作者信息

Gorsi Ujjwal, Bhatia Anmol, Gupta Rajesh, Bharathi Saranga, Khandelwal Niranjan

机构信息

Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Saudi J Gastroenterol. 2014 May-Jun;20(3):195-8. doi: 10.4103/1319-3767.133026.

Abstract

Wandering spleen is a rare clinical condition which occurs due to laxity or absence of the normal intraperitoneal ligaments that hold the spleen in place. Gastric volvulus and wandering spleen share a common etiology of absence or laxity of intraperitoneal ligaments. The occurrence of simultaneous pancreatic volvulus has never been described before in adolescence. Herein, we report a case having wandering spleen with torsion, and gastric and distal pancreatic volvulus, an unusual triad in acute abdomen in an emergency setting, which has never been described before to the best of our knowledge.

摘要

游走脾是一种罕见的临床病症,其发生是由于固定脾脏的正常腹膜内韧带松弛或缺失。胃扭转和游走脾具有腹膜内韧带缺失或松弛这一共同病因。青春期同时发生胰腺扭转的情况此前从未有过描述。在此,我们报告一例游走脾伴扭转、胃和胰腺远端扭转的病例,这是急诊情况下急性腹痛中一种不寻常的三联征,据我们所知此前从未有过相关描述。

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