Lee T G, Brickman F E, Satterwhite G R, Avecilla L S
Arch Surg. 1979 Jan;114(1):13-5. doi: 10.1001/archsurg.1979.01370250015002.
The correct preoperative diagnosis of a wandering spleen is infrequently made either clinically or with conventional radiologic studies. Since ultrasound can readily identify the spleen, it may assist in making this diagnosis. We describe three patients to illustrate the advantages and usefulness of ultrasound. In one postmastectomy patient, the suspected abdominal metastasis was shown to be a displaced spleen, thus obviating the necessity for an exploratory laparotomy. In the other two patients, ultrasound diagnosis was helpful in clinical treatment by localizing the wandering spleen. Ultrasound evaluation is particularly suited for patients with obscure abdominal masses because it is safe, simple, and fast.
游走脾的术前正确诊断在临床或传统放射学检查中都不常见。由于超声能够轻易识别脾脏，它可能有助于做出这一诊断。我们描述了三名患者以说明超声的优势和实用性。在一名乳房切除术后的患者中，疑似腹部转移瘤经证实是移位的脾脏，从而避免了剖腹探查的必要性。在另外两名患者中，超声诊断通过定位游走脾对临床治疗有帮助。超声评估特别适用于腹部肿块情况不明的患者，因为它安全、简单且快速。
