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游走脾扭转导致的急腹症:一种罕见的临床表现。

Acute abdomen due to torsion of the wandering spleen: A rare clinical presentation.

机构信息

Department of General Surgery, Health Sciences University Mehmet Akif İnan Training and Research Hospital, Şanlıurfa-Turkey.

出版信息

Ulus Travma Acil Cerrahi Derg. 2021 Jan;27(1):154-156. doi: 10.14744/tjtes.2020.00734.

Abstract

Wandering spleen is defined as the spleen that is not in its normal anatomic position due to the absence or laxity of suspensory ligaments. Congenital and acquired factors play a role in its etiology. It is a rare condition and may cause life-threatening complications as torsion or infarction. Rarely, patients may present to the emergency department with an acute abdomen. They may also present with chronic abdominal pain or intraabdominal mass. Given that its clinical diagnosis is difficult to make, radiological studies have an important role for an accurate diagnosis. In this paper, we presented a 24-year-old patient with torsion of a wandering spleen who presented with an acute abdomen and underwent laparoscopic splenectomy under urgent conditions.

摘要

游走脾是指由于悬韧带缺失或松弛,脾脏不在正常解剖位置的一种疾病。其病因既有先天性因素,也有后天获得性因素。游走脾是一种罕见疾病,可能导致危及生命的并发症,如扭转或梗死。极少数情况下,患者可能因急性腹痛就诊于急诊科。也可能因慢性腹痛或腹腔内肿块就诊。鉴于其临床诊断较为困难,影像学检查对准确诊断具有重要作用。本文报道了 1 例 24 岁游走脾扭转患者,其以急性腹痛就诊,紧急行腹腔镜脾切除术。

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