Advances in pediatric surgery
- 제14권2호
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- Pages.183-188
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- 2008
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
유주 비장의 염전에 의한 비장 경색 - 1예 보고 -
Splenic Infarction due to Torsion of Wandering Spleen - A Case Report -
- Kim, Hye-Jin (Department of Surgery, School of Medicine, Kyungpook National University) ;
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Choe, Byung-Ho
(Department of Pediatric, School of Medicine, Kyungpook National University) ;
- Park, Jin-Young (Department of Surgery, School of Medicine, Kyungpook National University)
- 투고 : 2008.11.24
- 심사 : 2008.12.26
- 발행 : 2008.12.31
초록
Wandering spleen is very rare condition in children characterized by migration of the spleen from its normal position due to laxity or absence of the supporting splenic ligaments. We experienced a case of splenic infarction due to torsion of a wandering spleen in a 6-year-old boy who presented with fever, vomiting, and abdominal pain of 2 day's duration. On physical examination, there was severe tenderness in the left upper quadrant of the abdomen. The plain abdominal radiograph showed marked colonic gaseous distension. Contrast-enhanced abdominal computed tomography scan showed decreased density of spleen in the normal position, consistent with infarction. At emergency laparotomy, a wandering spleen twisted