[Updated on Apr. 18] Integration of CiNii Articles into CiNii Research

A Case of Accessory Spleen Torsion Diagnosed Preoperatively and Treated by Laparoscopic Resection

DOI
  • Kawami Akio
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Masumoto Kouji
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Chiba Fumiko
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Tanaka Nao
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Aiyoshi Tsubasa
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Sasaki Takato
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Gotoh Chikashi
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Urita Yasuhisa
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Shinkai Toko
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Takayasu Hajime
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba

Bibliographic Information

Other Title
  • 外傷を契機に術前診断し得た副脾捻転梗塞の1例
  • 症例報告 外傷を契機に術前診断し得た副脾捻転梗塞の1例
  • ショウレイ ホウコク ガイショウ オ ケイキ ニ ジュツゼン シンダン シエタ フクヒネンテン コウソク ノ 1レイ

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Abstract

<p>A 12-year-old boy was referred to our hospital owing to left abdominal pain that lasted for two days after trauma. Contrast CT showed a 4-cm-diameter mass localized in an area inferior to the left kidney. He was admitted to our hospital with suspicion of left abdominal tumor. Ultrasonography revealed that the blood flow in the mass vanished, and enhanced MRI demonstrated a twisted cord from the mass with hemorrhagic infarction toward the splenic hilum. Therefore, he was diagnosed as having accessory spleen torsion, and laparoscopic resection was performed on the 19th day after his injury. Histopathological findings showed that the accessory spleen infarction occurred owing to pedicle torsion. Accessory spleen is very rare and the preoperative diagnosis was difficult owing to specific findings in images. From our experience, the detection of pedicle torsion is important for the preoperative diagnosis.</p>

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