Lamesch P, Lamesch A
Surgical Department, Children's Hospital Medical Center, Centre Hospitalier, Luxembourg.
Langenbecks Arch Chir. 1993;378(3):171-7. doi: 10.1007/BF00184468.
We report on the case of a 6-year-old girl admitted as an emergency with an acute abdomen with the diagnosis of peritonitis; clinical examination under anesthesia revealed the presence of an abdomino-pelvic mass. Laparotomy confirmed the diagnosis of torsion of an ectopic spleen. Splenectomy was required because the spleen was gangrenous. A review of the literature from 1896 to 1990 revealed reports of 74 cases. Epidemiology, etiology, pathophysiology, the diagnostic and therapeutic problems are discussed.
我们报告了一例6岁女童因急腹症急诊入院，诊断为腹膜炎；麻醉下的临床检查发现腹盆腔有肿块。剖腹探查证实为异位脾脏扭转。由于脾脏已坏疽，需要进行脾切除术。对1896年至1990年的文献回顾显示有74例病例报告。本文讨论了其流行病学、病因、病理生理学、诊断及治疗问题。
