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首页> 外文期刊>Surgical Endoscopy >Laparoscopic splenectomy for torsion of wandering spleen associated with celiac axis occlusion.
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Laparoscopic splenectomy for torsion of wandering spleen associated with celiac axis occlusion.

机译：腹腔镜脾切除术治疗伴有腹腔轴闭塞的脾脏扭转。

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BACKGROUND: Wandering spleen is a spleen lacking its normal ligamentous attachments, and thus subjected to free movement in the abdominal cavity, and even torsion around its pedicle. Surgical treatment includes either fixation (splenopexy) or resection (splenectomy). Both procedures can now be accomplished using the laparoscopic approach. METHODS AND RESULTS: We describe a case of a torsion of a wandering spleen, leading to recurrent episodes of abdominal pain, and eventually to splenic ischemia, necessitating splenectomy. The diagnosis was complicated by associated angiographic findings of celiac axis occlusion, possibly by median arcuate ligament compression. Laparoscopic splenectomy was successful, and led to complete resolution of symptoms. CONCLUSIONS: Although a rare condition, wandering spleen can be diagnosed accurately by imaging studies, mainly CT scan and angiography. Nowadays, the laparoscopic approach is preferred and enables the surgeon to perform either splenopexy or splenectomy, depending on the vascular status of the spleen.
机译：背景：脾脏流失是一种脾脏，缺乏其正常的韧带附着，因此在腹腔内自由运动，甚至在椎弓根周围发生扭转。手术治疗包括固定术（脾切除术）或切除术（脾切除术）。现在可以使用腹腔镜方法完成这两个过程。方法和结果：我们描述了一例因脾脏漂移而导致腹部疼痛反复发作，最终导致脾缺血的病例，因此必须行脾切除术。诊断伴有腹腔轴闭塞相关的血管造影检查结果，可能是弓形韧带正中压迫。腹腔镜脾切除术成功，并导致症状完全缓解。结论：尽管罕见，但可以通过影像学检查（主要是CT扫描和血管造影术）准确诊断出脾脏游荡。如今，首选腹腔镜手术方法，使外科医生能够根据脾脏的血管状况进行脾脏切除或脾切除术。

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