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游走脾,与远端胰腺一起扭转。

Wandering spleen, which is torsioned with the distal pancreas.

机构信息

Department of General Surgery, Necmettin Erbakan University Meram Faculty of Medicine, Konya-Türkiye.

出版信息

Ulus Travma Acil Cerrahi Derg. 2022 Sep;28(9):1363-1365. doi: 10.14744/tjtes.2021.34288.

Abstract

There are many causes of acute abdominal pain. One of them is wandering splenic torsion. We aimed to discuss a case in which the distal pancreas and spleen were torsion together and underwent splenectomy in the light of the literature. A 19-year-old male patient with sudden onset of abdominal pain underwent splenectomy after physical examination and imaging revealed splenic torsion. Early diagnosis is important as life-threatening complications may develop. Emergency surgery should be performed in patients with splenic ischemia. It should be kept in mind that the pancreas may be torsioned along with the spleen. Surgeons need to be careful during splenectomy to avoid injury to the pancreas.

摘要

急性腹痛有很多原因。其中之一是游走性脾扭转。我们旨在结合文献讨论一例胰体尾部同时扭转而行脾切除术的病例。一位 19 岁男性患者突发腹痛,体检和影像学检查提示脾扭转而行脾切除术。早期诊断很重要,因为可能会出现危及生命的并发症。对于脾缺血的患者应行急诊手术。应该记住,胰腺可能与脾脏一起扭转。外科医生在进行脾切除时需要小心,避免损伤胰腺。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/344c/10315951/ac86ec66a0aa/TJTES-28-1363-g001.jpg

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