복강경으로 수술한 부비장의 염전

• Published in: Annals of surgical treatment and research Vol. 68; no. 5; pp. 439 - 442
• Main Authors: 이윤석(Yoon Suk Lee), 김진조(Jin Jo Kim), 이근호(Geun Ho Lee), 오세정(Se Jung Oh), 박승만(Seung Man Park), 김영하(Young Ha Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.05.2005
• Subjects: 일반외과학; Wandering accessory spleen; 염전; Laparoscopic surgery; 복강경 수술; Torsion; 부비장
• ISSN: 2288-6575; 2288-6796

Accessory spleen is presence of ectopic splenic sue, which has been found in 10～30% in autopsies series. Commonly accessory spleen have no clinical symptoms so diagnosis is difficult to make. But torsion of an wandering accessory spleen which is very unusual entity can appeared as acute abdominal pain and painful mass on abdomen. We reported case of a 27-years-old-woman with torsion of an wandering accessory spleen presenting as acute abdominal pain and painful mass on abdomen. Abdomino-pelvic CT shows large hypodense mass with peripheral enhancement with inflammatory change in LLQ area. Patient underwent laparoscopic exploration under impression of torsion of mesenteric cyst. During the laparoscopic exploration, we found out the torsion of accessory spleen and it was removed successfully by laparoscopic approach. The diagnosis of torsion of wandering accessory spleen could be considered in acute abdomen with intraabdominal mass with hypodense, peripheral enhancement on CT. Despite of size of mass, laparoscopic approach is one of the treatment method in that case. (J Korean Surg Soc 2005;68:439-442) KCI Citation Count: 0