儿童脾扭转
Torsion of the spleen in children (Fren)作者机构：Département Médico-chirurgical de Pédiatrie Hpital Jean-Bernard CHU de Poitiers 350 avenue Jacques-Coeur 86021 Poitiers Cedex France
出 版 物：《世界核心医学期刊文摘（儿科学分册）》 (Dkgest of the World Latest Medical Information)
年 卷 期：2006年第2卷第A3期
页 面：40-41页
学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学]
主 题：脾固定术 脾切除手术 脾切除术 腹部疼痛 儿童群体 超声扫描 处理方法
摘 要：The wandering spleen is caused by congenital absence of fixating ligaments or abnormally long ligaments. It is an uncommon clinical entity, which rarely affects children. The clinical presentation of wandering spleen is variable, but the most dangerous complication is splenic torsion. A 7 year-old boy presented with abdominal pain and vomiting. The abdominal ultrasound scan discovered spleen ischemia. Volvulus of the spleen was evoked. Laparotomy was carried out and the patient underwent splenectomy. In this case the anatomical means of spleen fixity were absent. Because wandering spleen is uncommon in the paediatric population, a heightened awareness of the condition is required for accurate diagnosis and appropriate management. The treatment of choice is splenopexy, while if splenic necrosis is present, splenectomy is required.
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