Hosoda Koji, Shimizu Kazuto, Tadokoro Michiko, Miyazaki Nobuhiro
Department of Radiology, Chikamori Hospital, Kochi, Japan.
Radiol Case Rep. 2024 Nov 22;20(2):903-908. doi: 10.1016/j.radcr.2024.10.115. eCollection 2025 Feb.
Torsion of an accessory spleen is a rare condition, and it is often difficult to diagnose. It frequently presents as an acute abdomen, especially in young individuals. Only several dozen cases have been reported so far, and instances of rupture are even rarer. In this report, we present a case of an adult male who developed intraperitoneal hemorrhage due to torsion of an accessory spleen, presenting with left upper quadrant pain. A preoperative diagnosis was successfully made using contrast-enhanced computed tomography (CT), Angiography and magnetic resonance imaging(MRI). When encountering left upper abdominal pain or intraperitoneal hemorrhage, torsion of an accessory spleen should be considered as a differential diagnosis.
副脾扭转是一种罕见的病症，通常难以诊断。它常表现为急腹症，尤其是在年轻人中。迄今为止，仅报道了几十例病例，破裂的情况甚至更为罕见。在本报告中，我们呈现了一例成年男性因副脾扭转导致腹腔内出血，并伴有左上腹疼痛的病例。通过增强计算机断层扫描（CT）、血管造影和磁共振成像（MRI）成功进行了术前诊断。当遇到左上腹疼痛或腹腔内出血时，应将副脾扭转作为鉴别诊断考虑。
