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首页> 外文期刊>International Journal of General Medicine >Torsion of Wandering Spleen Attached to the Omentum: A Rare Case Report from Iran
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Torsion of Wandering Spleen Attached to the Omentum: A Rare Case Report from Iran

机译：扭转脾脏附着在Omentum上的扭曲：来自伊朗的罕见案例报告

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Background: Wandering spleen is a rare condition with less than 0.2% prevalence, and it is the cause of 0.25% of total splenectomies. This condition happens as a result of the lack or looseness of the spleen suspensory ligaments, and it may manifest as an acute abdomen due to the spleen becoming twisted around its vascular base. Case Presentation: This study reports the case of a wandering spleen attached to the omentum (with blood supply from the omentum) in the pelvic area, with ectopic appendix (located in the right upper quadrant), ectopic liver (located in the abdominal midline), and ectopic stomach (located in the right upper abdominal region), in a 15-year-old male complaining about abdominal pain, nausea, vomiting, and lack of appetite, who was referred to the hospital. The patient underwent laparotomy with the diagnosis of acute abdomen; the twisted ectopic spleen in the pelvis was removed and appendectomy was also performed. The clinical manifestations of wandering spleen vary extensively, and its presurgical diagnosis is difficult in the absence of radiological studies. Therefore, spleen torsion has to be considered as a diagnosis for acute abdomen in order to prevent necrosis of the spleen and other related complications. Conclusion: Wandering spleen should be borne in mind for patients presenting with a palpable intra-abdominal mass causing acute or intermittent abdominal symptoms.
机译：背景：湿润脾脏是一种罕见的病症，流行率小于0.2％，其原因占总脾切除术的0.25％。由于脾脏悬浮韧带的缺乏或松动，这种情况发生这种情况，并且由于脾脏围绕其血管基础扭曲，因此可能表现为急性腹部。案例介绍：本研究报告了在骨盆区域中附着于Omentum（血液供应的血液供应）的湿润脾脏的情况，异位附录（位于右上象限），异位肝脏（位于腹部中线） ，胃（位于右上腹部地区），在一名15岁的男性中抱怨腹痛，恶心，呕吐，缺乏食欲，谁被提交给医院。患者接受剖腹手术诊断急性腹部;除去骨盆中的扭曲异位脾脏并进行阑尾切除术。在没有放射性研究的情况下，徘徊脾脏的临床表现随着无线电研究的困难而困难。因此，脾脏扭转必须被视为急性腹部的诊断，以防止脾脏的坏死和其他相关并发症。结论：应考虑到患有可触及的腹部肿块患者造成急性或间歇性腹部症状的患者进行徘徊脾脏。

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