A Case of Accessory Spleen Torsion Diagnosed Preoperatively and Treated by Laparoscopic Resection
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- Kawami Akio
- Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
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- Masumoto Kouji
- Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
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- Chiba Fumiko
- Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
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- Tanaka Nao
- Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
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- Aiyoshi Tsubasa
- Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
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- Sasaki Takato
- Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
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- Gotoh Chikashi
- Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
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- Urita Yasuhisa
- Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
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- Shinkai Toko
- Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
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- Takayasu Hajime
- Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
Bibliographic Information
- Other Title
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- 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>
Journal
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- Journal of the Japanese Society of Pediatric Surgeons
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Journal of the Japanese Society of Pediatric Surgeons 55 (5), 951-956, 2019-08-20
The Japanese Society of Pediatric Surgeons
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Keywords
Details
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- CRID
- 1390282763133964928
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- NII Article ID
- 130007691769
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- NII Book ID
- AN00192281
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- ISSN
- 21874247
- 0288609X
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- NDL BIB ID
- 029968459
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed