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Torsion of spleen and portal hypertension: Pathophysiology and clinical implications

World Journal of Hepatology 2021年第7期13卷 774-780页

作者： Ashish Kumar Jha sameer bhagwat Vishwa Mohan Dayal Arya Suchismita Department of Gastroenterology Indira Gandhi Institute of Medical SciencesPatna 800014India Department of Paediatric Hepatology Institute of Liver and Biliary SciencesDelhi 110070India

The displacement of spleen from its normal location to other places is known as wandering spleen(WS)and is a rare *** repeated torsion of WS is due to the presence of long pedicle and absence/laxity of anchoring ligaments.A WS is an extremely rare cause of left-sided portal hypertension(PHT)and severe gastric variceal ***-sided PHT usually occurs as a result of splenic vein occlusion caused by splenic torsion,extrinsic compression of the splenic pedicle by enlarged spleen,and splenic vein *** is a paucity of data on WSrelated PHT,and these data are mostly in the form of case *** this review,we have analyzed the data of 20 reported cases of WS-related *** mechanisms of pathogenesis,clinico-demographic profile,and clinical implications are described in this *** majority of patients were diagnosed in the second to third decade of life(mean age:26 years),with a strong female preponderance(M:F=1:9).Eleven of the 20 WS patients with left-sided PHT presented with abdominal pain and *** 6 of the 11 patients,varices were detected incidentally on preoperative imaging studies or discovered ***,pre-operative search for varices is required in patients with splenic torsion.

关键词： Wandering spleen Splenic torsion Left-sided portal hypertension Gastric variceal bleeding Splenectomy

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Bilateral inferior dislocation of the hip a case report

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Chinese Journal of Traumatology 2012年第2期15卷 121-123页

作者： Kishan R bhagwat Bhavuk Garg sameer Aggarwal Mandeep S Dhillon Department of Orthopaedic Surgery Post Graduate Institute of Medical Education and Research （PGIMER） Chandigarh 160012 India

Inferior dislocation of the hip is the rarest type in hip dislocation. Very few cases have been reported in the anglophonic literature, most of which involved the pediatric age group. Surprisingly, we came across a 30- year-old patient with a bilateral inferior hip dislocation. He had sustained a road traffic accident and the attitude of both hip joints was flexion and abduction. The diagnosis was confirmed by radiographs which revealed the long axis of the femur at an angle of 1 l0 （right） degrees and 100 （left）degrees respectively away from the axis. Closed reduction under sedation was successfully performed. Skin traction for a period of 6 weeks was advised and the follow-up revealed an excellent result. We present the details of this case, the first of its kind along with a review of the literature, discussing the various modes and mechanisms of injury inducing inferior dislocation of the hip.

关键词： Hip dislocation Joints Femur

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Inferior dislocation of the hip： a case series and litera- ture review

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Chinese Journal of Traumatology 2012年第5期15卷 317-320页

作者： sameer Aggarwal Vishal Kumar Kishan Ramachandra bhagwat Vokkaleri Shankaranarayana Shashikanth Holalu Shankaralingegowda Ravikumar Department of Orthopaedic Surgery Post Graduate Institute of Medical Education and Research(PGIMER)Chandigarh 160012India

Inferior hip dislocation is the rarest type among all hip dislocations. Very few cases have been re ported in the English literature. Most of the earlier reported cases involves the pediatric age group. No single case series could be found in the English literature. We came across 4 cases of inferior hip dislocation with a varied age profile （range 10 to 56 years, mean 33.8 years）. Patients with this disease usually complained of pain and kept the thigh flexed and abducted. The diagnosis can be confirmed by radiographs which reveal that the long axis of the femur varies in alignment with respect to the spine from parallel toan angle almost 90° away from the axis. In our series, closed reduction was successful in all patients, either under seda tion or general anaesthesia. Skin traction for a period of 6 weeks was applied in all of them and followup revealed painfree, stable and mobile hips. In this study we present the details of these cases along with a review of literature discussing the various modes and mechanisms that pro duce inferior hip dislocation.

关键词： Hip dislocation Therapeutics Traction Weight-bearing

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