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游走脾导致的急腹症

The Wanderer: Acute Abdomen Secondary to a Wandering Spleen.

作者信息

Lombardo Toni, Shah Rishi R, Mazzie Joseph

机构信息

New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA.

Nova Southeastern University, Fort Lauderdale, Florida, USA.

出版信息

Case Rep Radiol. 2025 Jun 10;2025:6697671. doi: 10.1155/crra/6697671. eCollection 2025.

DOI:10.1155/crra/6697671
PMID:40529386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12173544/
Abstract

Wandering spleen is a rare condition resulting from the absence or laxity of peritoneal attachments, allowing the spleen to migrate within the abdominal cavity. While some patients may remain asymptomatic, others can develop life-threatening complications such as splenic torsion, infarction, and bowel obstruction. This case report highlights one of the complications of wandering spleen and the importance of timely diagnosis and intervention.

摘要

游走脾是一种罕见的病症，是由于腹膜附着缺失或松弛，使得脾脏在腹腔内迁移所致。虽然一些患者可能没有症状，但另一些患者可能会出现危及生命的并发症，如脾扭转、梗死和肠梗阻。本病例报告强调了游走脾的一种并发症以及及时诊断和干预的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/6fa3540aa625/CRIRA2025-6697671.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/b46e4ebbf702/CRIRA2025-6697671.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/98c1e9fdc705/CRIRA2025-6697671.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/223473f7329b/CRIRA2025-6697671.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/ed11e7d76892/CRIRA2025-6697671.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/6fa3540aa625/CRIRA2025-6697671.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/b46e4ebbf702/CRIRA2025-6697671.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/98c1e9fdc705/CRIRA2025-6697671.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/223473f7329b/CRIRA2025-6697671.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/ed11e7d76892/CRIRA2025-6697671.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a2/12173544/6fa3540aa625/CRIRA2025-6697671.005.jpg

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本文引用的文献

1
Wandering Spleen.游走脾
N Engl J Med. 2020 Nov 19;383(21):2065. doi: 10.1056/NEJMicm2003627.
2
Wandering spleen: a medical enigma, its natural history and rationalization.游走脾：医学之谜，其自然病史与合理化阐释。
World J Surg. 2013 Mar;37(3):545-50. doi: 10.1007/s00268-012-1880-x.
3
A wandering spleen presenting as an acute abdomen: case report.游走脾表现为急腹症：病例报告
J Emerg Med. 2012 Nov;43(5):e303-5. doi: 10.1016/j.jemermed.2010.06.029. Epub 2010 Sep 19.
4
Laparoscopic mesh splenopexy (sandwich technique) for wandering spleen.腹腔镜脾网固定术（三明治技术）治疗游走脾
JSLS. 2007 Apr-Jun;11(2):246-51.
5
Surgical treatment of patients with wandering spleen: report of six cases with a review of the literature.游走脾患者的外科治疗：6例报告并文献复习
Surg Today. 2007;37(3):261-9. doi: 10.1007/s00595-006-3389-0. Epub 2007 Mar 9.
6
The wandering spleen: CT findings and possible pitfalls in diagnosis.游走脾：CT表现及诊断中可能存在的陷阱
Clin Radiol. 2006 Nov;61(11):954-8. doi: 10.1016/j.crad.2006.06.007.
7
Acute torsion of wandering spleen: MRI findings.游走脾急性扭转：磁共振成像表现
AJR Am J Roentgenol. 2004 Jun;182(6):1607-8. doi: 10.2214/ajr.182.6.1821607.
8
Laparoscopic splenopexy by peritoneal and omental pouch construction for intermittent splenic torsion ("wandering spleen").通过构建腹膜和网膜囊进行腹腔镜脾固定术治疗间歇性脾扭转（“游走脾”）
Surg Endosc. 2001 Apr;15(4):413. doi: 10.1007/s004640040043. Epub 2001 Mar 13.