Benoist S, Imbaud P, Veyrieres M
Department of Surgery, Rene Dubos Hospital, Pontoise, France.
Hepatogastroenterology. 1998 Nov-Dec;45(24):2430-1.
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.
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。