Moll S, Igelhart J D, Ortel T L
Division of Hematology/Oncology, Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.
Am J Hematol. 1996 Dec;53(4):259-63. doi: 10.1002/(SICI)1096-8652(199612)53:4<259::AID-AJH11>3.0.CO;2-7.
An ectopic, so-called wandering spleen is an uncommon occurrence. We present the case of a young woman who presented with abdominal pain and was found to have an enlarged spleen, located in the lower abdomen and pelvis. The possibility of lymphoma was entertained because of concomitant findings of thrombocytopenia and a possible mesenteric mass. The mass was subsequently found at laparotomy to be the tail of the malpositioned pancreas, and the thrombocytopenia resolved with splenectomy. Review of the literature indicates that lymphoma is an uncommon finding in wandering spleens, that wandering spleens are enlarged in most cases, and that thrombocytopenia, while uncommon, can be seen, in particular when associated with torsion of an elongated splenic pedicle.
异位脾，即所谓的游走脾，是一种罕见的情况。我们报告一例年轻女性病例，该患者因腹痛就诊，检查发现脾脏增大，位于下腹部和盆腔。由于同时存在血小板减少和可能的肠系膜肿块，曾考虑淋巴瘤的可能性。随后在剖腹手术中发现肿块是异位胰腺的尾部，脾切除术后血小板减少症得以缓解。文献回顾表明，淋巴瘤在游走脾中是一种罕见的发现，游走脾在大多数情况下会增大，血小板减少症虽然少见，但也可见到，特别是当与细长脾蒂扭转相关时。
