Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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MR Images of Infarction of Wandering Spleen Associated with Intestinal Non-rotation

장 회전 이상과 함께 발생한 부유비장 경색의 자기공명영상에서의 소견: 증례 보고

  • 김유진 (인하대학교병원 영상의학과) ;
  • 김미영 (인하대학교병원 영상의학과) ;
  • 김여주 (인하대학교병원 영상의학과) ;
  • 김윤정 (인하대학교병원 영상의학과) ;
  • 김우철 (인하대학교병원 영상의학과) ;
  • 서창해 (인하대학교병원 영상의학과) ;
  • 최석진 (인하대학교병원 병리과) ;
  • 조재성 (뉴욕대학교 자연과학대 생물학과)
  • Received : 2014.05.29
  • Accepted : 2014.08.08
  • Published : 2014.09.30
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Abstract

Wandering spleen is a rare clinical condition caused by lax splenic suspensory ligaments. The laxity of ligaments causes torsion of splenic vascular pedicle. CT scan of a 7-year-old girl with abdominal pain showed a non-enhancing lobular mass in lower abdomen. Small bowel loops were located at the right-sided abdomen and colonic loops at the left-sided abdomen. MRI scan showed non-enhancing heterogeneous mass with twisted vascular pedicle. To our knowledge, only a few cases have been reported about wandering spleen diagnosed on MRI.

부유비장은 희귀한 임상질환으로서 느슨한 비장현수인대에 의해 발생하며 이는 비장혈관줄기의 비틀림을 유발한다. 복통이 있는 7세 여자 환아의 전산화 단층촬영에서 하복부에 조영증강되지 않는 종괴 소견이 있었고 소장은 우측 복부에 대장은 좌측 복부에 위치하였다. 자기공명영상 스캔에서 비틀린 비장혈관줄기와 함께 조영증강 되지 않는 불균질 신호강도의 종괴가 있었다. 지금까지 자기공명영상으로 진단된 부유비장의 증례 보고는 매우 드물게 보고되어 있다.

Keywords

References

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