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脾脏游走至骨盆,继而发生扭转,文献中罕有报道.本例报告阐明了其诊断的困难性及适当治疗的选择.患者16岁,女性,急性痉挛性腹痛2天,疼痛位于下腹两侧,直立时疼痛加重,取胎儿姿势时减轻;呕吐,吐出物中无血液.里急后重,感到无力排气;月经尚未来潮.体检:病人表情痛苦,从脐部向下至骨盆可触及大而坚突的肿块,稍可推动,轻度触痛.阴道单指诊,子宫颈正常,直肠检查无异常发现.白细胞计数27,000/mm~3,中性80%,单核8%,淋巴10%,血色素12.3mg,血小板257,000/mm~3,凝血酶元时间13.0(正常10～12),部分凝血激酶时间25(正常20～29).尿分析及电解质均属正常.骨盆超声波检查证实有一大肿块,与子宫及左卵巢界限不清.腹部CT检查显示密度均匀的肿块,位于膀胱前及尿道侧方,左上腹脾脏缺如.阴道镜检查
The spleen migrates to the pelvis and then twists, rarely reported in the literature This case report illustrates the difficulty of its diagnosis and the choice of appropriate treatment: Patient 16 years old, female, acute spastic abdominal pain 2 days, pain on both sides of the lower abdomen, Erectile dysfunction, erection pain, from the umbilical down to reach the pelvis can reach the large and resolute Lumps, a little push, mild tenderness .According to single vagina diagnosis, normal cervix and rectum examination, no abnormality was found. White blood cell count 27,000 / mm ~ 3, neutral 80%, mononuclear 8%, lymphatic 10%, hemoglobin 12.3 mg, platelets 257,000 / mm3, thrombin time 13.0 (normal 10 to 12), and partial thromboplastin time 25 (normal 20 to 29) Urinalysis and electrolytes were normal Pelvic ultrasonography confirmed a large mass with Uterine and left ovarian boundaries are unclear. Abdominal CT examination showed uniform density of the mass, located in the anterior bladder and urethra, the left upper abdomen spleen absence colposcopy