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游走脾脾固定术后的可逆性脾功能亢进

Reversible hypersplenism after splenopexy for wandering spleen.

作者信息

Benoist S, Imbaud P, Veyrieres M

机构信息

Department of Surgery, Rene Dubos Hospital, Pontoise, France.

出版信息

Hepatogastroenterology. 1998 Nov-Dec;45(24):2430-1.

PMID:9951938
Abstract

Wandering spleen is a rare condition characterized by a normal spleen with extreme mobility associated with an elongated pedicle. The most common presentation is an acute surgical abdomen related to acute torsion. A case of wandering spleen complicated by symptomatic hypersplenism in a 29 year-old woman is presented. The hypersplenism was diagnosed after bleeding delivery, requiring blood transfusion. Wandering spleen was suspected after pre-operatively performed CT scan. The patient was successfully treated by splenopexy. This report illustrates that conservative surgical management may result in complete reversal of hematological symptoms.

摘要

游走脾是一种罕见的病症,其特征为正常脾脏具有与长蒂相关的极度活动度。最常见的表现是与急性扭转相关的急性外科急腹症。本文报告一例29岁女性游走脾并发症状性脾功能亢进的病例。脾功能亢进在产后出血并需要输血后被诊断出来。术前进行CT扫描后怀疑为游走脾。患者通过脾固定术成功治愈。本报告表明,保守性手术治疗可能会使血液学症状完全逆转。

相似文献

1
Reversible hypersplenism after splenopexy for wandering spleen.游走脾脾固定术后的可逆性脾功能亢进
Hepatogastroenterology. 1998 Nov-Dec;45(24):2430-1.
2
[Wandering spleen with torsion of the pedicle. A case report and review of the literature].[游走脾伴蒂扭转。病例报告及文献复习]
Chir Ital. 2002 May-Jun;54(3):417-21.
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Torsion of a pelvic wandering spleen as a cause of acute abdomen in a woman: a case report and review of the literature.一名女性盆腔游走脾扭转致急腹症:病例报告及文献复习
Ethiop Med J. 2004 Jan;42(1):53-61.
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Laparoscopic splenopexy for wandering (pelvic) spleen.腹腔镜脾固定术治疗游走(盆腔)脾。
Surg Laparosc Endosc. 1998 Aug;8(4):286-90.
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Laparoscopic splenopexy for a wandering spleen in a child.
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Laparoscopic splenopexy of a pediatric wandering spleen by creation of a retroperitoneal pocket.通过创建腹膜后腔隙对小儿游走脾进行腹腔镜脾固定术。
J Laparoendosc Adv Surg Tech A. 2005 Dec;15(6):670-2. doi: 10.1089/lap.2005.15.670.
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Wandering spleen: a challenging diagnosis.
South Med J. 1997 Apr;90(4):439-43. doi: 10.1097/00007611-199704000-00017.
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Laparoscopic splenopexy for wandering spleen, a video demonstration of technique by encircling the spleen with polyglactin 910 woven mesh.腹腔镜脾固定术治疗游走脾:用聚甘醇酸 910 编织网环绕脾脏的技术视频演示。
Surg Endosc. 2017 Dec;31(12):5427-5428. doi: 10.1007/s00464-017-5630-x. Epub 2017 Jul 21.
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Wandering spleen as a cause of acute abdomen: a case report.游走脾作为急腹症的病因:一例报告
Chir Ital. 2005 May-Jun;57(3):373-5.
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Laparoscopic management of the wandering spleen.游走脾的腹腔镜治疗
J Laparoendosc Adv Surg Tech A. 2004 Aug;14(4):227-9. doi: 10.1089/lap.2004.14.227.

引用本文的文献

1
Wandering spleen with splenic torsion in a child with DiGeorge syndrome.患有DiGeorge综合征的儿童出现游走脾伴脾扭转。
Radiol Case Rep. 2019 Aug 6;14(10):1209-1213. doi: 10.1016/j.radcr.2019.06.018. eCollection 2019 Oct.
2
Wandering spleen presenting as recurrent pancreatitis.游走脾表现为复发性胰腺炎。
JSLS. 2008 Jul-Sep;12(3):310-3.
3
Surgical treatment of patients with wandering spleen: report of six cases with a review of the literature.游走脾患者的外科治疗:6例报告并文献复习
Surg Today. 2007;37(3):261-9. doi: 10.1007/s00595-006-3389-0. Epub 2007 Mar 9.