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ダウンロード数 : ?
ID 106024
著者
石橋, 広樹 Department of Pediatric Surgery, National Kagawa Children’s Hospital|Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
オオシオ, タケヒト Department of Pediatric Surgery, National Kagawa Children’s Hospital
ソガミ, トモコ Department of Pediatric Surgery, National Kagawa Children’s Hospital
ニイ, アキラ Department of Pediatric Surgery, National Kagawa Children’s Hospital
森, 大樹 Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
島田, 光生 Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
accessory spleen
torsion
situs inversus
資料タイプ
学術雑誌論文
抄録
We present an unusual case of acute abdomen caused by torsion of an accessory spleen with situs inversus in a child. A three-year-old girl was admitted to our hospital with an 11-day history of right flank pain with fever. Her medical history revealed an operation of coarctation of the aorta with situs inversus at one month of age. Physical examination revealed a right flank mass and tenderness. A contrast-enhanced CT scan showed a normally enhanced small spleen in the right upper quadrant and a 7.0×6.0×3.5 cm, hypodense, marginal enhancing mass in the right midabdomen adjacent to the intestine. An emergency laparotomy was decided upon with a preoperative diagnosis as an acute abdomen. During surgery, a mass was found under the greater omentum and two accessory spleens of 1.5 cm in diameter were found surrounding the main spleen. Several loops of bowel were adherent to the mass. The loops of bowel were dissected away. A pediculated congested mass was observed as an accessory spleen emerging from the greater omentum. The mass was twisted on its vascular pedicle and strangulated. The necrotic mass was removed and the postoperative recovery was uneventful. Though torsion of an accessory spleen is extremely rare, it should be considered in the differential diagnosis of acute abdomen in childhood.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
59
1-2
開始ページ
220
終了ページ
223
並び順
220
発行日
2012-02
EDB ID
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院