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Overraskende fund af vandremilt ved diagnostisk laparoskopi hos en 11-årig pige

Forfatter(e)
Ari Demirel, Marlene Aagaard Hansen, Kåre Gotschalck Sunesen & Peter Nerstrøm Organkirurgisk Afdeling, Regionshospital Randers Ugeskr Læger 2017;179:V01170025
Reference: 
Ugeskr Læger 2017;179:V01170025
Blad nummer: 
Sidetal: 
2-3
Wandering spleen in a patient hospitalized with acute abdomen
An 11-year-old girl was hospitalized with a two-day history of lower abdominal pain. She had a localized peritoneal reaction in the right lower quadrant, an elevated CRP level, and an increased WBC count. Based on suspicion of acute appendicitis a diagnostic laparoscopy revealed a misplaced spleen in the right side of the pelvis with a partly torsion of a long vascular pedicle. The splenic tissue was vital without any sign of ischaemia, but splenopexy was not possible, and an uncomplicated elective splenectomy was performed.
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