Mendes J, Gonçalves M, Pita-Groz J, Leal M J
Service de Chirurgie Pédiatrique, Hospital de Santa Maria, Universidade de Lisboa, Portugal.
Chir Pediatr. 1988;29(5):291-2.
The authors describe, a case of torsion of the splenic hilum complicated with a Salmonella typhimurium infection in a child aged 14 months. The existence of a defect of the spleen fixation to the parietal peritoneum, the wandering spleen, that occurs during foetal life is responsible for this situation. The etiology of this entity as well as its clinical presentation and differential diagnosis are analysed. the therapeutic indications os splenectomy and splenopexy are discussed.
作者描述了一例14个月大儿童脾门扭转并伴有鼠伤寒沙门氏菌感染的病例。脾脏与壁腹膜固定缺陷（即游走脾）在胎儿期出现，是导致这种情况的原因。分析了该病症的病因、临床表现及鉴别诊断。讨论了脾切除术和脾固定术的治疗指征。
