A Case of Torsion and Infarction of a Wandering Spleen during an Observation Period
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- IKEZOE Erika
- Department of Gastrointestinal and General Surgery, Kagawa Prefectural Central Hospital
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- OHASHI Ryuichiro
- Department of Gastrointestinal and General Surgery, Kagawa Prefectural Central Hospital
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- OKADA Naohiro
- Department of Gastrointestinal and General Surgery, Kagawa Prefectural Central Hospital
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- ICHIHARA Syuji
- Department of Gastrointestinal and General Surgery, Kagawa Prefectural Central Hospital
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- ANDO Midori
- Department of Clinical Pathology, Kagawa Prefectural Central Hospital
Bibliographic Information
- Other Title
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- 経過観察中に捻転・梗塞をきたした遊走脾の1例
- ケイカ カンサツ チュウ ニ ネンテン ・ コウソク オ キタシタ ユウソウヒ ノ 1レイ
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Abstract
<p>The patient, an 81-year-old woman, under observation for 6 years, was diagnosed with a wandering spleen and splenomegaly by computed tomography (CT). Laboratory testing showed pancytopenia, but no subjective symptoms were observed. After she fell over, she developed malaise and anorexia. Her spleen was poorly enhanced with a “whirl sign” of splenic vessels on abdominal CT. She was referred to our hospital for suspected torsion and infarction of the wandering spleen. Elective splenectomy was planned because her condition was stable at the time of referral. Preoperative CT of the abdomen showed mild improvement in splenomegaly in the infarcted area of the spleen and only capsular contrast (the capsular rim sign). After total splenectomy, the patient recovered uneventfully and was discharged on the 8th postoperative day.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 83 (7), 1358-1362, 2022
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390013474494885248
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 032320408
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed