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Br Med J. 1974 Aug 31;3(5930):564-6. doi: 10.1136/bmj.3.5930.564.
In three patients with acute torsion of the spleen in the tropics the presenting symptoms included an abdominal mass, pain, and vomiting. In malarious areas adults usually know that they have splenomegaly and hence this fact should be ascertained in the clinical history. In an acute abdominal catastrophe, with a palpable tumour and a history of known splenomegaly, the absence of the spleen in the normal position suggests acute splenic torsion.
在热带地区，3例急性脾扭转患者的主要症状包括腹部肿块、疼痛和呕吐。在疟疾流行地区，成年人通常知道自己有脾肿大，因此在临床病史中应确定这一情况。在急性腹部急症中，可触及肿块且有脾肿大病史，而正常位置没有脾脏提示急性脾扭转。
