PDF(Pubmed)
Abstract：
Wandering spleen is a rare condition in children that is often caused by the loss or weakening of the splenic ligaments. Its clinical presentation is variable; 64% of children with wandering spleen have splenic torsion as a complication. A 13-year-old boy who had been showing abdominal pain in the hypogastric region accompanied by vomit and an enormous tumefaction in the suprapubic region came to our observation. Considering the ovoid morphology at ultrasound exam, the echostructure and the marked reduction of parenchymal vascularization, suspicion for torsion of an ectopic spleen arose. Ultrasound evaluation has a primary role in the diagnosis of a suspected wandering spleen and, to avoid potentially life-threatening complications, immediate surgery is often times required.
摘要：
在儿童中，脾脏游荡是一种罕见的疾病，通常是由脾韧带的丢失或减弱引起的。其临床表现是可变的；64％的脾脏游荡的儿童有脾扭转作为并发症。我们观察到一个13岁的男孩，他在腹下区域表现出腹痛，伴有呕吐物和耻骨上区域的巨大肿块。考虑到超声检查时的卵形形态，回声结构和实质血管化的显著减少，出现了对异位脾扭转的怀疑。超声评估在疑似游荡的脾脏的诊断中具有主要作用，为了避免潜在的危及生命的并发症，经常需要立即手术。
