인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Wandering spleen is a rare clinical entity characterized by abnormal mobility of the spleen due to laxity or absence of its supporting ligaments. In pediatric patients, this condition can present with vague abdominal symptoms or acute torsion leading to infarction, posing a significant diagnostic challenge. Early identification through imaging and timely intervention are crucial to preserve splenic function. Conducted in a tertiary care setting, we report three pediatric cases of wandering spleen, each illustrating a different clinical course and surgical management strategy. The first case involved a 13-year-old girl with progressive abdominal pain and vomiting, ultimately requiring splenectomy after unsuccessful detorsion attempts. The second case featured a 10-year-old girl with a previously known pelvic spleen who underwent successful laparotomy and splenopexy upon finding a partially viable spleen. The third case involved a 3-year-old girl with fever, acute pain, and imaging evidence of an ectopic spleen; intraoperative detorsion and splenopexy preserved splenic tissue, underscoring the importance of salvage when possible. These cases highlight the variable presentation of wandering spleen, the pivotal role of imaging in diagnosis, and underscore that splenic salvage should be prioritized whenever feasible to maintain immunologic function. Splenopexy remains the preferred option for viable spleens, while splenectomy is reserved for nonviable organs, with adequate follow-up essential to monitor for potential postoperative complications.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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