CT诊断脾扭转伴胰尾扭转临床案例分析

李耀辉; 陈向志

doi:10.15953/j.ctta.2023.018

CT诊断脾扭转伴胰尾扭转临床案例分析

李耀辉^,,
陈向志

中国人民解放军联勤保障部队第九八三医院放射诊断科, 天津300142

详细信息

通讯作者:
李耀辉: 男，中国人民解放军联勤保障部队第九八三医院放射诊断科医师，主要从事CT与MR影像诊断及研究，E-mail：119033560@qq.com

中图分类号: R 814
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出版历程
- 收稿日期: 2023-02-10
- 修回日期: 2023-03-19
- 录用日期: 2023-03-30
- 网络出版日期: 2023-04-23
- 刊出日期: 2023-10-31

CT Diagnosis of Splenic Torsion with Pancreatic Tail Torsion: A Clinical Case Analysis

LI Yaohui^,,
CHEN Xiangzhi

Department of Radiology Diagnosis, The 983rd Hospital of the PLA Joint Logistics Support Force, Tianjin 300142, China

摘要

摘要:
游走脾（WS），又称异位脾。1677年由荷兰医生Johannes von home在尸检中首次发现，是一种因脾脏的活动度增大，所引起的急或慢性疾病。当游走脾发生脾蒂扭转时，称为脾扭转（ST）。脾扭转发生几率较小，只占WS的20％，但危险性极大，严重者可致脾梗死甚或危及生命。本病为罕见病，全球仅报告500例。ST伴胰尾扭转在我国还没有病例报道，为提高对该病的认识，现将我院收治的1例患者予以报道。
- 体层摄影术 /
- 游走脾 /
- 脾扭转 /
- 胰尾扭转
Abstract:
Wandering spleen (WS), known as the ectopic spleen, was first identified in autopsies by Dutch physician Johannes von home in 1677. It is an acute or chronic disease caused by increased activity of the spleen. When a splenic torsion occurs in the WS, it is called splenic torsion (ST). The incidence of ST is small, accounting for only 20% of WS, but it is extremely dangerous, and severe cases can cause splenic infarction or even life-threatening. The disease is rare, with only 500 cases reported worldwide. There have been no cases of ST with pancreatic tail torsion reported in China. To improve the awareness of the disease, one patient admitted to our hospital was reported.
- CT /
- wandering spleen /
- splenic torsion /
- pancreatic tail torsion

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图 1 立位腹平片图像

Figure 1. Plain radiographs of abdomen in a vertical position

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图 2 腹部CT平扫图像

Figure 2. CT of abdomen

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图 3 腹部CT增强动脉期图像

Figure 3. Images of abdominal contrast-enhanced arterial phase CT

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图 4 腹部CT增强门脉期和延迟期图像

Figure 4. Abdominal CT enhanced portal vein phase and delayed phase images

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图 5 术中图片和病理图片

Figure 5. Intraoperative observation and pathological image

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