Hernandez Rachel M, Duddy Benjamin J, Iverson Kyle J
General Surgery, Keesler Medical Center, Biloxi, USA.
Cureus. 2024 Sep 13;16(9):e69369. doi: 10.7759/cureus.69369. eCollection 2024 Sep.
Wandering spleen is a unique condition defined as a hypermobile spleen with a sole attachment to its vascular pedicle. The most common complication is torsion of the spleen, resulting in a surgical emergency. Early diagnosis and prevention of splenic infarction are the mainstays of treatment to help preserve immunologic function. We report a case of torsion of the wandering spleen in a 23-year-old active-duty male with a prior childhood history of duodenal atresia. His abdominal examination demonstrated a palpable midline mass, which was confirmed by CT abdomen and pelvis to be a wandering spleen with twisting of the vascular pedicle. The patient was taken for an exploratory laparotomy, where an infarcted spleen was identified with associated twisting of the splenic hilum, and a splenectomy was performed. Post-operatively, the patient is healthy and symptom-free at the three-month follow-up and has returned to active duty.
游走脾是一种独特的病症，定义为脾脏活动度过高，仅通过血管蒂附着。最常见的并发症是脾扭转，这会引发外科急症。早期诊断和预防脾梗死是治疗的关键，有助于保留免疫功能。我们报告一例23岁现役男性游走脾扭转病例，该男性童年时有十二指肠闭锁病史。他的腹部检查发现可触及中线肿块，腹部和盆腔CT证实为游走脾伴血管蒂扭转。患者接受了剖腹探查术，术中发现梗死脾伴脾门扭转，遂行脾切除术。术后，患者在三个月的随访中身体健康且无症状，已重返现役。
