Journal of Developmental Medicine(Electronic Version)  2024, Vol. 12 Issue (5): 369-373 DOI: 10.3969/j.issn.2095-5340.2024.05.008 |
|
|
|
|
|
|
| A single-center retrospective study on diagnosis and treatment of splenic torsion in children |
| Li Shuanling, Wang Dayong, Li Yunpeng, et al
|
(1.Department of Emergency Surgery, Beijing Children’s Hospital, Capital Medical University, National
Center for Children’s Health, Beijing 100045, China; 2. Department of General Surgery, Baoding Hospital of
Beijing Children's Hospital, Regional Center for Children's Health, Hebei, Baoding 071000, China)
|
|
|
|
Abstract 【Abstract】 Objective To explore the clinical characteristics, diagnosis, treatment, and outcomes of splenic torsion in children. Method The clinical data of children diagnosed with splenic torsion (excluding accessory splenic torsion) at Beijing Children's Hospital, Capital Medical University from January 2007 to March 2024 were collected and retrospectively analyzed, including baseline data, clinical manifestation, imaging features, findings in operation, postoperative complications and outcomes of treatment. Result A total of 19 children were included, including 5 males and 14 females. Age ranged from 9 to 168 months, with a median age of 71 months. Abdominalpain (94.7%, 18/19) was the most common clinical manifestation, followed by vomiting (57.9%, 11/19). The time from onset to treatment was 1 day to 1 year. During the imaging examination at Beijing Children's Hospital,Capital Medical University 16 children were selected for ultrasound examination, and all were diagnosed with
splenic torsion combined with splenic infarction. Two children were diagnosed with abnormal splenic development by computed tomography (CT) examination, and then splenic torsion was confirmed by ultrasound examination subsequently. Fourteen children underwent splenectomy, 3 children underwent splenic preservation, and 2 children did not undergo surgery. All 17 surgical children were confirmed to have missing or poorly developed ligaments around the spleen. In addition to one death case, the remaining 18 children recovered successfully. Conclusion Splenic torsion can occur acutely or chronically and is characterized by organo-axial or omental-axial torsion. Not all splenic torsion is secondary to infarction. The operation method of splenic torsion should be determined according to the splenic blood flow.
|
|
Received: 30 May 2024
Published: 30 September 2024
|
|
|
|
|
|
