Weijmer M C, Hondebrink Y, Strack van Schijndel R J
Academisch Ziekenhuis Vrije Universiteit, afd. Intensive Care, Amsterdam.
Ned Tijdschr Geneeskd. 1998 Aug 22;142(34):1927-9.
A mobile asymptomatic abdominal mass was accidentally found in a 81-year-old man. Further studies revealed a wandering spleen. Wandering spleen is rare, the diagnosis can easily be made with ultrasonography. The patient presented was asymptomatic, but severe complications may occur. Congenital anomalies of ligaments, splenomegaly and pregnancy may be of aetiological importance. In young patients and in case of complaints splenopexia is the treatment of choice; the patient presented was treated conservatively.
一名81岁男性意外发现腹部有一个可移动的无症状肿块。进一步检查发现是游走脾。游走脾较为罕见,超声检查很容易做出诊断。该患者目前无症状,但可能会发生严重并发症。韧带先天性异常、脾肿大和妊娠可能具有病因学意义。对于年轻患者以及有症状的情况,脾固定术是首选治疗方法;该患者接受了保守治疗。