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游走脾:急腹症的一种独特病因。

Wandering spleen: a unique cause of acute abdomen.

作者信息

Hui Lian H, Hayati F, Ali A A, Azizan N, Che Ani M F, Suhaili M A, Zakaria A D

机构信息

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Malaysia.

出版信息

Folia Morphol (Warsz). 2018;77(2):400-402. doi: 10.5603/FM.a2017.0097. Epub 2017 Oct 24.

Abstract

We present the case of a 16-year-old boy presented with 2-week episode of wor-sening lower abdominal pain. Clinically, there was a tender palpable mass on the suprapubic region. Ultrasonography showed an absent spleen at its usual area, instead suprapubic mass suggestive of ectopic spleen was identified. An emer-gency laparotomy revealed a congested spleen in the pelvic cavity. Splenectomy was undertaken as it was non-viable. The patient was discharged uneventfully with triple vaccinations. We describe this unique entity with its literature review. (Folia Morphol 2018; 77, 2: 400-402).

摘要

我们报告了一名16岁男孩的病例,该男孩出现了为期2周的下腹部疼痛加重症状。临床上,耻骨上区域可触及一个压痛性肿块。超声检查显示在脾脏的正常位置未发现脾脏,取而代之的是耻骨上的一个肿块,提示为异位脾脏。急诊剖腹探查发现盆腔内有一个充血的脾脏。由于脾脏无法存活,遂进行了脾切除术。患者接种三联疫苗后顺利出院。我们结合文献回顾对这一独特病例进行了描述。(《形态学杂志》2018年;77卷,第2期:400 - 402页)

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