Wandering spleen with gastric volvulus and intestinal non-rotation in an adult male patient.

Acta Radiologica Short Reports Pub Date : 2013-11-18 eCollection Date: 2013-01-01 DOI:10.1177/2047981613499755

Minako Ooka, Eiichi Kohda, Yuo Iizuka, Masashi Nagamoto, Tomotaka Ishii, Yoshihisa Saida, Norikazu Shimizu, Tatsuya Gomi

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引用次数: 14

Abstract

We report an extremely rare case of wandering spleen (WS) complicated with gastric volvulus and intestinal non-rotation in a male adult. A 22-year-old man who had been previously treated for Wilson disease was admitted with severe abdominal pain. Radiological findings showed WS in the midline of the pelvic area. The stomach was mesenteroaxially twisted and intestinal non-rotation was observed. Radiology results did not show any evidence of splenic or gastrointestinal (GI) infarction. Elective emergency laparoscopy confirmed WS and intestinal non-rotation; however, gastric volvulus was not observed. It was suspected that the stomach had untwisted when gastric and laparoscopic tubes were inserted. Surgery is strongly recommended for WS because of the high risk of serious complications; however, some asymptomatic adult patients are still treated conservatively, such as the patient in this study. The present case is reported with reference to the literature.

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成年男性游离脾伴胃扭转、肠不转1例。

我们报告一个极为罕见的病例，游离脾(WS)并发胃扭转和肠不旋转的男性成人。一名22岁的男性患者曾因威尔逊病接受过治疗，因严重腹痛入院。影像学显示盆腔中线可见WS。胃肠系膜轴向扭曲，肠不旋转。放射学结果未显示任何脾或胃肠道(GI)梗死的证据。择期急诊腹腔镜确认WS和肠道不旋转;但未见胃扭转。当插入胃管和腹腔镜管时，怀疑胃已经解开。由于严重并发症的高风险，强烈建议WS手术治疗;然而，一些无症状的成年患者仍采用保守治疗，如本研究中的患者。本病例是参考文献报道的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Radiologica Short Reports

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审稿时长

12 weeks

期刊介绍： Under the editorial leadership of Professor Arnulf Skjennald MD and a distinguished editorial board, Acta Radiologica Open, formerly Acta Radiologica Short Reports, aims for the prompt publication of original case reports, short reports, review articles, pictorial reviews, research articles on diagnostic and interventional radiology, clinical radiology, experimental investigations in animals, and all other research related to imaging procedures. Acta Radiologica Open provides a complete update on all radiological specialties and technical utilities, as well as physiology and physics related to imaging, including ultrasonography, computed tomography, radionuclide and magnetic resonance imaging. Acta Radiologica Open publishes articles on diagnostic and interventional procedures in radiology based on all medical imaging techniques, as well as works in physiology and physics when related to radiology. The journal is an online-only, peer reviewed, open access journal.