A CASE OF SPLENIC TORSION WITH PSEUDOCYST DURING OBSERVATION

DOI Web Site 6 Citations 33 References

Bibliographic Information

Other Title
  • 経過観察中に脾捻転を起こした脾嚢胞の１例

Search this article

Abstract

Torsion of the spleen is a rare disease and an unusual entity. The most common etiology is wandering spleen. Here, we report a case of splenic torsion with splenic cyst during observation. A 32–year–old woman visited our hospital with left upper abdominal pain in August of 2002. She was found to have a splenic cyst at 20 years of age, but was not concerned because it caused no symptom. Abdominal ultrasound and CT revealed a splenic cyst measuring 7.0 cm in diameter. She obtained relief from pain after examination, and we chose conservative therapy as an outpatient. However, she was admitted with severe left abdominal pain three months later. Abdominal CT revealed a malrotated spleen, and laparoscopic splenectomy was performed in a view of splenic torsion. Intraoperative findings showed backward malrotation of the spleen at a 45–degree angle. She recovered uneventfully and was discharged on the 9th postoperative day. The histological diagnosis was splenic pseudocyst, and histological findings revealed acute infarction of splenic parenchyma induced by torsion of the spleen.

Journal

Citations (6)*help

See more

References(33)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top