PDF(Pubmed)
Abstract：
UNASSIGNED: Wandering spleen (WS), characterized by abnormal mobility due to laxity of its ligaments, is a rare condition often presenting diagnostic challenges. Its complications, such as torsion and infarction, necessitate prompt recognition and management to prevent life-threatening outcomes.
METHODS: We report a case of a 45-year-old female presenting with acute abdominal pain, constipation, and a palpable mass in the right iliac fossa. Imaging revealed a torsion of a wandering spleen, a rare occurrence exacerbated by delayed diagnosis despite a decade of symptoms.
UNASSIGNED: Diagnostic imaging, including abdominal ultrasound and CT scan, played a crucial role in confirming the ectopic spleen and guiding surgical intervention. Immediate laparotomy revealed a twisted spleen necessitating splenectomy due to non-viability post-detorsion attempt.
CONCLUSIONS: This case underscores the importance of considering wandering spleen in the differential diagnosis of acute abdominal pain, especially in patients with chronic intermittent symptoms. Surgical intervention remains the definitive treatment, emphasizing the risks associated with conservative management in preventing complications.
METHODS: We report a case of a 45-year-old female presenting with acute abdominal pain, constipation, and a palpable mass in the right iliac fossa. Imaging revealed a torsion of a wandering spleen, a rare occurrence exacerbated by delayed diagnosis despite a decade of symptoms.
UNASSIGNED: Diagnostic imaging, including abdominal ultrasound and CT scan, played a crucial role in confirming the ectopic spleen and guiding surgical intervention. Immediate laparotomy revealed a twisted spleen necessitating splenectomy due to non-viability post-detorsion attempt.
CONCLUSIONS: This case underscores the importance of considering wandering spleen in the differential diagnosis of acute abdominal pain, especially in patients with chronic intermittent symptoms. Surgical intervention remains the definitive treatment, emphasizing the risks associated with conservative management in preventing complications.
摘要：
■游荡的脾脏（WS），其特征是由于其韧带松弛而导致的异常活动，是一种罕见的疾病，经常带来诊断挑战。其并发症,如扭转和梗塞，需要及时识别和管理，以防止危及生命的结果。
方法：我们报告一例45岁女性急性腹痛，便秘,右髂窝有明显的肿块.成像显示一个游荡的脾脏扭转,尽管有十年的症状，但由于诊断延迟而加剧了这种罕见的情况。
■诊断成像，包括腹部超声和CT扫描,在确认异位脾和指导手术干预中起着至关重要的作用。立即剖腹手术显示，由于不可行，脾脏扭曲，需要进行脾切除术。
结论：该病例强调了在急性腹痛的鉴别诊断中考虑脾脏游走的重要性，尤其是有慢性间歇性症状的患者。手术干预仍然是最终的治疗方法，强调保守管理在预防并发症方面的风险。
方法：我们报告一例45岁女性急性腹痛，便秘,右髂窝有明显的肿块.成像显示一个游荡的脾脏扭转,尽管有十年的症状，但由于诊断延迟而加剧了这种罕见的情况。
■诊断成像，包括腹部超声和CT扫描,在确认异位脾和指导手术干预中起着至关重要的作用。立即剖腹手术显示，由于不可行，脾脏扭曲，需要进行脾切除术。
结论：该病例强调了在急性腹痛的鉴别诊断中考虑脾脏游走的重要性，尤其是有慢性间歇性症状的患者。手术干预仍然是最终的治疗方法，强调保守管理在预防并发症方面的风险。
