游走脾伴脾扭转：两例报告。
Wandering spleen with splenic torsion: Report of two cases.
作者信息
Virani Peyman, Farbod Ali, Niknam Saman, Akhgari Aisan
机构信息
Department of Surgery, Tabriz University of Medical Sciences, Tabriz, Iran.
Medical Student, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Int J Surg Case Rep. 2021 Jan;78:274-277. doi: 10.1016/j.ijscr.2020.12.039. Epub 2020 Dec 18.
INTRODUCTION AND IMPORTANCE
Anatomical variation of the spleen's position in the abdomen, is a rare condition called Wandering Spleen (WS). WS is a vital differential diagnosis in patients presenting with acute abdomen and diagnosis should be made promptly to prevent development of serious complications.
CASE PRESENTATION
In this article, we report two cases of WS (27 and 20 years old females) presenting with abdominal pain due to splenic torsion. Both Patients underwent splenectomy and discharged with no further complications.
CLINICAL DISCUSSION
The presentation of a wandering spleen varies from an asymptomatic mass to an acute abdomen due to torsion and splenic infarction, therefore recognition of this condition can be challenging. Diagnosis depends on imaging studies, and treatment options consist of performing either splenectomy or splenopexy.
CONCLUSION
Concerning the high incidence of splenic torsion and infarction in WS patients, early recognition of this condition and initiation of apt intervention is of great significance.
引言与重要性
脾脏在腹腔内位置的解剖变异是一种罕见情况，称为游走脾（WS）。WS是急腹症患者重要的鉴别诊断疾病，应及时做出诊断以防止严重并发症的发生。
病例报告
在本文中，我们报告了两例因脾扭转而出现腹痛的游走脾病例（分别为27岁和20岁女性）。两名患者均接受了脾切除术，出院时无进一步并发症。
临床讨论
游走脾的表现从无症状肿块到因扭转和脾梗死导致的急腹症各不相同，因此识别这种情况具有挑战性。诊断依赖于影像学检查，治疗选择包括行脾切除术或脾固定术。
结论
鉴于游走脾患者中脾扭转和梗死的发生率较高，早期识别这种情况并启动适当干预具有重要意义。
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