ISSN 1004-4140
CN 11-3017/P
LI Y H, CHEN X Z. CT Diagnosis of Splenic Torsion with Pancreatic Tail Torsion: A Clinical Case Analysis[J]. CT Theory and Applications, 2023, 32(6): 799-805. DOI: 10.15953/j.ctta.2023.018. (in Chinese).
Citation: LI Y H, CHEN X Z. CT Diagnosis of Splenic Torsion with Pancreatic Tail Torsion: A Clinical Case Analysis[J]. CT Theory and Applications, 2023, 32(6): 799-805. DOI: 10.15953/j.ctta.2023.018. (in Chinese).

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

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  • Received Date: February 10, 2023
  • Revised Date: March 19, 2023
  • Accepted Date: March 30, 2023
  • Available Online: April 23, 2023
  • 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.

  • [1]
    BLOUHOS K, BOULAS K, SALPIGKTIDIS I, et al. Ectopic spleen: An easily identifiable but commonly undiagnosed entity until manifestation of complications[J]. International Journal of Surgery Case Reports, 2014, 5(8): 451−454. doi: 10.1016/j.ijscr.2014.05.010
    [2]
    PURANIK A K, MEHRA R, CHAUHAN S, et al. Wandering spleen: A surgical enigma[J]. Gastroenterology Report, 2017, 5(3): 241−243.
    [3]
    ASAFU ADJAYE FRIMPONG G, ABOAGYE E, AYISI-BOATENG N K, et al. Concurrent occurrence of a wandering spleen, organoaxial gastric volvulus, pancreatic volvulus, and cholestasis: A rare cause of an acute abdomen[J]. Radiology Case Reports, 2019, 14: 946−951. doi: 10.1016/j.radcr.2019.05.018
    [4]
    VARGA I, BABALA J, KACHLIK D. Anatomic variations of the spleen: Current state of terminology, classification, and embryological background[J]. Surgical and Radiologic Anatomy, 2018, 40(1): 21−29. doi: 10.1007/s00276-017-1893-0
    [5]
    KHAN D B, KHANDWALA K, ABBASI S U, et al. Torsion of wandering spleen with infarction[J]. Cureus, 2018, 10(8): e3177.
    [6]
    FEROCI F, MIRANDA E, MORALDI L, et al. The torsion of a wandering pelvic spleen: A case report[J]. Cases Journal, 2008, 1(1): 149.
    [7]
    姜传武, 肖玉芹, 杨浩, 等. 游走脾的诊治进展[J]. 中国中西医结合影像学杂志, 2010,8(1): 68−70. doi: 10.3969/j.issn.1672-0512.2010.01.024
    [8]
    VIANA C, CRISTINO H, VEIGA C, et al. Splenic torsion, a challenging diagnosis: Case report and review of literature[J]. International Journal of Surgery Case Reports, 2018, 44: 212−216. doi: 10.1016/j.ijscr.2018.02.032
    [9]
    宋宴鹏, 徐晓云, 葛桂霞. 超声诊断游走脾并脾扭转1例[J]. 中国临床医学影像杂志, 2013,24(7): 464. DOI: 10.3969/j.issn.1008-1062.2013.07.004.

    SONG Y P, XU X Y, GE G X. Ultrasonic diagnosis of wandering spleen and splenic torsion: Report of one case[J]. Journal of China Clinic Medical Imaging, 2013, 24(7): 464. DOI: 10.3969/j.issn.1008-1062.2013.07.004. (in Chinese).
    [10]
    BEN ELY A, ZISSIN R, COPEL L, et al. The wandering spleen: CT findings and possible pitfalls in diagnosis[J]. Clinical Radiology, 2006, 61(11): 954−958. doi: 10.1016/j.crad.2006.06.007
    [11]
    ABASZADEH F, TAEBI M, NIKZAD JAMNAH H. Torsion of wandering spleen attached to the omentum: A rare case report from Iran[J]. International Journal of General Medicine, 2020, 13: 333−336.
    [12]
    刘金沙, 邱太春, 张清, 等. 盆腔内游离脾伴蒂扭转合并脾错构瘤一例[J]. 放射学实践, 2020,35(3): 401−402. doi: 10.13609/j.cnki.1000-0313.2020.03.028
    [13]
    HAN J, TONKIN D, HEWETT P. Rare case of wandering spleen causing intra-thoracic megacolon[J]. ANZ Journal of Surgery, 2020, 90(6): 1192−1193. doi: 10.1111/ans.15542
    [14]
    COLOMBO F, D'AMORE P, CRESPI M, et al. Torsion of wandering spleen involving the pancreatic tail[J]. Annals of Medicine and Surgery, 2020, 50: 10−13. doi: 10.1016/j.amsu.2019.12.001
    [15]
    余洲, 余德刚, 顾进, 等. 游走脾扭转致梗死一例[J]. 肝胆胰外科杂志, 2021,33(1): 47−49. DOI: 10.11952/j.issn.1007-1954.2021.01.011.

    YU Z, YU D G, GU J, et al. Torsion of wandering spleen leads to infarction in one case[J]. Journal of Hepatopancreatobiliary Surgery, 2021, 33(1): 47−49. DOI: 10.11952/j.issn.1007-1954.2021.01.011. (in Chinese).
    [16]
    NEL D, KLOPPERS C, PANIERI E. Laparoscopic splenopexy for wandering spleen with absorbable mesh fixation[J]. South African Journal of Surgery, 2021, 59(1): 30a−30b.
    [17]
    SATO M, MIYAKI Y, TOCHIKUBO J, et al. Laparoseopic splenectomy for a wandering spleen complicating gastric varices: Report of a case[J]. Surgical Case Reports, 2015, 1(1): 3.
    [18]
    杨镇. 我国门静脉高压症外科治疗的现况和展望[J]. 临床肝胆病杂志, 2016,32(2): 250−253. DOI: 10.3969/j.issn.1001-5256.2016.02.010.

    YANG Z. Current status and perspectives of surgical treatment of portal hypertension[J]. Journal of Clinical Hepatology, 2016, 32(2): 250−253. DOI: 10.3969/j.issn.1001-5256.2016.02.010. (in Chinese).

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