DeJohn Lucas, Hal Hassan, Winner Louis
Radiol Case Rep. 2015 Dec 7;3(4):229. doi: 10.2484/rcr.v3i4.229. eCollection 2008.
We present two cases of wandering spleen, one in a 47-year-old woman who presented with constipation, and one in a 3-year-old girl who presented with acute abdominal pain. Wandering spleen is a rare clinical condition characterized by ectopic positioning of the spleen due to abnormal peritoneal attachments including the lienorenal and gastrosplenic ligaments. The spleen can "wander" or migrate into various positions within the abdomen or pelvis due to this ligamentous laxity. The clinical presentation of patients with this entity is variable and can range from an incidental finding to an acute abdomen associated with torsion. Various imaging modalities can be utilized for the diagnosis of this condition.
我们报告两例游走脾病例,一例为47岁女性,表现为便秘;另一例为3岁女童,表现为急性腹痛。游走脾是一种罕见的临床病症,其特征是由于包括脾肾韧带和胃脾韧带在内的腹膜附着异常,导致脾脏异位。由于这种韧带松弛,脾脏可“游走”或迁移至腹部或盆腔内的各个位置。该病症患者的临床表现多样,可从偶然发现到与扭转相关的急腹症。多种影像学检查方法可用于诊断此病。