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患有DiGeorge综合征的儿童出现游走脾伴脾扭转。

Wandering spleen with splenic torsion in a child with DiGeorge syndrome.

作者信息

Taylor Charlotte S, Howard-Claudio Candace

机构信息

Department of Radiology, University of Mississippi Medical Center, 2500 N. State Street, Jackson, MS 39216.

出版信息

Radiol Case Rep. 2019 Aug 6;14(10):1209-1213. doi: 10.1016/j.radcr.2019.06.018. eCollection 2019 Oct.

DOI:10.1016/j.radcr.2019.06.018
PMID:31440319
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6698723/
Abstract

Wandering spleen is a rare condition, occurring due to either abnormal development of or abnormal laxity of suspensory ligaments. The hypermobility of the spleen predisposes these patients to splenic torsion, which may be a life-threatening complication. The clinical presentation of wandering spleen varies widely from vague pain to an acute abdomen. There are numerous case reports of other congenital anomalies in children with a wandering spleen. We present a case of wandering spleen with splenic torsion in a child with DiGeorge syndrome, which to our knowledge has not been previously reported.

摘要

游走脾是一种罕见的病症,其发生原因是悬韧带发育异常或松弛。脾脏的活动度过高使这些患者易发生脾扭转,这可能是一种危及生命的并发症。游走脾的临床表现差异很大,从模糊的疼痛到急腹症都有。有大量关于游走脾患儿合并其他先天性异常的病例报告。我们报告一例患有DiGeorge综合征的儿童发生游走脾并伴有脾扭转的病例,据我们所知,此前尚无此类报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b61/6698723/3663fdc25485/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b61/6698723/767dc655d8fe/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b61/6698723/1b3d3ad17985/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b61/6698723/9873da8732cf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b61/6698723/3663fdc25485/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b61/6698723/767dc655d8fe/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b61/6698723/1b3d3ad17985/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b61/6698723/9873da8732cf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b61/6698723/3663fdc25485/gr4.jpg

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本文引用的文献

1
Genetic Drivers of Kidney Defects in the DiGeorge Syndrome.22q11.2微缺失综合征中肾脏缺陷的遗传驱动因素
N Engl J Med. 2017 Feb 23;376(8):742-754. doi: 10.1056/NEJMoa1609009. Epub 2017 Jan 25.
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The Medical-Surgical Splenopathies.内科-外科脾脏疾病
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Wandering spleen presenting as recurrent pancreatitis.游走脾表现为复发性胰腺炎。
病例报告:一名游走脾扭转新生儿的保守非手术治疗
Front Pediatr. 2022 Jan 28;9:791932. doi: 10.3389/fped.2021.791932. eCollection 2021.
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Wandering spleen with splenic torsion in a toddler: A case report and literature review.幼儿游走脾伴脾扭转:一例报告及文献综述
Medicine (Baltimore). 2020 Sep 11;99(37):e22063. doi: 10.1097/MD.0000000000022063.
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A REVIEW OF 500 SPLENECTOMIES WITH SPECIAL REFERENCE TO MORTALITY AND END RESULTS.500例脾切除术回顾:特别涉及死亡率及最终结果
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Wandering spleen and its complications in children: a case series and review of the literature.儿童游走脾及其并发症:病例系列报道与文献综述
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Wandering spleen presenting as acute pancreatitis in pregnancy.
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Br J Radiol. 2001 Aug;74(884):767-72. doi: 10.1259/bjr.74.884.740767.
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Reversible hypersplenism after splenopexy for wandering spleen.游走脾脾固定术后的可逆性脾功能亢进
Hepatogastroenterology. 1998 Nov-Dec;45(24):2430-1.
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Thrombocytopenia in association with a wandering spleen.血小板减少症合并游走脾。
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Postgrad Med J. 1993 Sep;69(815):715-7. doi: 10.1136/pgmj.69.815.715.