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漂浮脾扭转的成功治疗：两例病例报告及文献综述

Successful treatment of floating splenic volvulus: Two case reports and a literature review.

作者信息

Sun Chi, Li Suo-Lin

机构信息

Department of Pediatric Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China.

出版信息

World J Clin Cases. 2021 Oct 16;9(29):8812-8819. doi: 10.12998/wjcc.v9.i29.8812.

DOI:10.12998/wjcc.v9.i29.8812
PMID:34734060
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8546827/
Abstract

BACKGROUND

The floating spleen refers to the spleen moving away from the normal anatomical position to other parts of the abdominal cavity.

CASE SUMMARY

In this report, we describe two cases of torsion of floating spleen, which were successfully treated by laparoscopic partial splenectomy and retroperitoneal fixation of the residual spleen. The clinical characteristics of previously reported cases are also discussed.

CONCLUSION

In conclusion, laparoscopic partial resection of splenic volvulus infarction and extraperitoneal fixation of residual spleen are safe and reliable.

摘要

背景

游走脾是指脾脏从正常解剖位置移至腹腔其他部位。

病例总结

在本报告中，我们描述了两例游走脾扭转病例，通过腹腔镜部分脾切除术及残余脾的腹膜后固定术成功治愈。还讨论了既往报道病例的临床特征。

结论

总之，腹腔镜下部分切除脾扭转梗死灶并行残余脾的腹膜外固定术安全可靠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a27/8546827/fd182f564e57/WJCC-9-8812-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a27/8546827/449932075577/WJCC-9-8812-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a27/8546827/fd182f564e57/WJCC-9-8812-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a27/8546827/449932075577/WJCC-9-8812-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a27/8546827/fd182f564e57/WJCC-9-8812-g002.jpg

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本文引用的文献

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Wandering Spleen.游走脾
N Engl J Med. 2020 Nov 19;383(21):2065. doi: 10.1056/NEJMicm2003627.
2
Wandering Spleen Volvulus: A Case Report and Literature Review of This Diagnostic Challenge.游走脾扭转：一例报告及对此诊断难题的文献综述
Am J Case Rep. 2020 Sep 1;21:e925301. doi: 10.12659/AJCR.925301.
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Torsion of the Wandering Spleen.游走脾扭转
游走脾扭转合并小肠扭转的手术治疗
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The Wandering Spleen.游走脾
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The application of laparoscopic Doppler ultrasound during laparoscopic varicocelectomy in infertile men.腹腔镜多普勒超声在不育男性腹腔镜精索静脉曲张切除术中的应用。
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Torsion of a Wandering Spleen Presenting as Acute Abdomen.游走脾扭转表现为急腹症
Pol J Radiol. 2016 Mar 15;81:110-3. doi: 10.12659/PJR.895972. eCollection 2016.
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Laparoscopic splenectomy for a wandering spleen complicating gastric varices: report of a case.腹腔镜脾切除术治疗游走脾合并胃静脉曲张：一例报告
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An Unusual Reason for Gastric Variceal Hemorrhage: Wandering Spleen.胃静脉曲张出血的一个不寻常原因：游走脾。
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Saudi J Gastroenterol. 2014 May-Jun;20(3):195-8. doi: 10.4103/1319-3767.133026.