| List of the Quiz
Home > Quiz > List of the Quiz
ABDOMEN / Spleen 23 / F, LUQ pain
2021-12-01
About Author |
Authors |
Shin Yong Moon |
Institution |
asan medical center |
E-mail |
cjimage@amc.seoul.kr |
About Case |
Chief complaint or Title |
LUQ pain |
Subspecialty |
ABDOMEN / Spleen |
Classification |
Vascular disease / infarction
|
Age |
23 |
Sex |
F |
Difficulty |
For resident |
Modality |
CT |
Case Figures |
|
Click above Figure for more images. |
|
|
|
Questions |
what is diagnosis? |
Answer |
Diagnosis |
Accessory spleen infarction ( or tosion µµ Á¤´ä ÀÎÁ¤ ) |
Comments |
ȯÀÚ´Â ¸î ´Þ Àü¿¡ ´Ù¸¥ ÀÌÀ¯·Î ÃÔ¿µÇÑ CT¿¡¼ ÇöÀç º´º¯ ºÎÀ§¿¡
accessory spleenÀÌ ÀÖ¾úÀ½. Accessory spleen infarctionÀ¸·Î »ý°¢ÇÏ°í conservative treatmentÈÄ È£ÀüµÊ.
ºÎºñÀåaccessory spleenÀº ¼±ÃµÀûÀ¸·Î µîÂÊÀ§°£¸·¿¡ ÀÖ´Â
splenic anlage°¡ ÅÂ¾Æ 5ÁÖ° À¶ÇÕ¿¡ ½ÇÆÐÇÏ¿©
Á¤»ó ºñÀå¿¡¼ ºÐ¸®µÇ¾î ¹ß»ýÇÑ´Ù. ºÎºñÀåÀº ºÎ°Ë¿¡¼ 10〜30%ÀÇ ºóµµ¸¦ º¸ÀÌ°í, splenic hilumÀ̳ª spleen ligament ÁÖÀ§¿¡¼ °¡Àå ÈçÇÏ°Ô ¹ß°ßµÈ´Ù. ÇÏÁö¸¸
Èĺ¹°À̳ª ÃéÀå ¹ÌºÎ ÁÖÀ§³ª ÃéÀå ½ÇÁú ³»ºÎ µî ¸Å¿ì ´Ù¾çÇÑ À§Ä¡¿¡¼ ³ªÅ¸³¯ ¼ö ÀÖ¾î¼ ´Ù¸¥ Á¾±«µé°úÀÇ °¨º°¿¡ ¹®Á¦°¡ µÇ±âµµ ÇÑ´Ù. ÇÑ ¿¬±¸¿¡ ÀÇÇÏ¸é ºñÀå ÇϺÎÀÇ ³»Ãø ÈĹæÀÌ ºÎºñÀåÀÌ °¡Àå È£¹ßÇÏ´Â À§Ä¡¿´´Ù.
¾à 10%¿¡¼´Â 1°³ ÀÌ»óÀÇ ºÎºñÀåµéÀÌ ³ªÅ¸³ª±âµµ
ÇÑ´Ù. À̵éÀº ´ë°³ Å©±â°¡ 2cmº¸´Ù ÀÛÀ¸¸ç ±¸ÇüÀ̳ª ³ª¿øÇüÀÇ
¸ð¾çÀ» º¸ÀÌ°í ºñÀ嵿¸Æ ºÐÁö·ÎºÎÅÍ Ç÷·ù °ø±ÞÀ» ¹Þ±â ¶§¹®¿¡ ºñÀå°ú À¯»çÇÑ Á¶¿µÁõ° ÇüŸ¦ º¸ÀδÙ.
´ëºÎºÐÀÇ ºÎºñÀåÀº Áõ»ó ¾øÀÌ ¿ì¿¬È÷ ¹ß°ßµÇ´Âµ¥, µå¹°°Ô ¿°Àü, ÀÚ¿¬ÆÄ¿, ÃâÇ÷À̳ª ³¶Á¾À» Çü¼ºÇÏ¸é¼ Áõ»óÀ» ¾ß±âÇϱ⵵ ÇÑ´Ù. Ç÷¾×ÇÐÀû ÁúȯÀ¸·Î ÀÎÇØ ºñÀåÀýÁ¦¼úÀ» ½ÃÇàÇÒ È¯ÀÚÀÇ °æ¿ì ºÎºñÀåÀÌ ¼ö¼ú ÈÄ Àç¹ßÀÇ ¿øÀÎÀÌ µÉ ¼ö ÀÖ´Ù´Â Á¡¿¡¼
¼ö¼ú Àü¿¡ Á¤È®ÇÑ Áø´ÜÀÌ ÇÊ¿äÇÏ°Ú´Ù.
ºÎºñÀåÀÇ
¿µ»ó Áø´Ü¿¡ ÀÖ¾î¼ °¡Àå Áß¿äÇÑ ÇÙ½ÉÀº ºñÀå°ú µ¿ÀÏÇÑ ¿µ»ó ¼Ò°ßµéÀ» º¸Àδٴ Á¡ÀÌ´Ù. ¶ÇÇÑ »ó´ç¼öÀÇ
ºÎºñÀåÀÌ Æ¯Â¡ÀûÀÎ À§Ä¡¿¡ ³ªÅ¸³ª¹Ç·Î ´ëºÎºÐ¿¡ ÀÖ¾î¼ ¿µ»ó Áø´Ü¿¡ Å« ¹®Á¦°¡ ¾ø´Ù. ÇÏÁö¸¸ ÀÓ»óÀûÀ¸·Î
°¡Àå ¹®Á¦°¡ µÉ ¼ö ÀÖ´Â À§Ä¡´Â ÃéÀå¹ÌºÎ ³»ºÎ¿¡¼ ¹ß»ýÇÏ´Â °æ¿ì´Ù. ¸¹°Ô´Â ¾à 17%¿¡¼ ÃéÀå¹ÌºÎ¿¡ ¹ß°ßµÇ¾ú´Ù´Â º¸°í°¡ Àִµ¥, ÃéÀåÀÇ ½Å°æ³»ºÐºñ
Á¾¾çÀ̳ª Å©±â°¡ ÀÛÀº °íÇü¼º Á¾¾ç°úÀÇ °¨º°¿¡ ¹®Á¦°¡ µÈ´Ù. ÇÏÁö¸¸ ÃéÀå Á¾¾ç°ú ´Ù¸£°Ô ÃÊÀ½ÆÄ °Ë»ç³ª CT, MRI¿¡¼ ´ëºÎºÐ ºñÀå°ú µ¿ÀÏÇÑ ¿µ»ó ¼Ò°ßÀ» º¸ÀδÙ. Áï, µ¿¸Æ±â¿¡¼ ºÒ±ÕÁúÇÑ ³»ºÎ Á¶¿µÁõ°ÀÌ º¸ÀÏ ¼ö ÀÖ°í, ¶Ç ¹®¸Æ±â³ª
±× ÀÌÈÄ¿¡¼ ÃéÀå°ú µ¿ÀÏÇϰųª ³·Àº °¨¼âµµ¸¦ º¸ÀÌ´Â ÃéÀå Á¾¾çµé°ú ´Þ¸® ºÎºñÀåÀº ºñÀå°ú ºñ½ÁÇÑ Áö¼ÓÀûÀÎ Á¶¿µÁõ°À» º¸ÀδÙ. ¶ÇÇÑ MRI¿¡¼´Â ºÎºñÀåÀÌ ¿ªµ¿Àû Á¶¿µÁõ° ¼Ò°ßµé°ú ÇÔ²²T1, T2 °Á¶¿µ»óÀ̳ª È®»ê °Á¶¿µ»ó¿¡¼ ºñÀå°ú µ¿ÀÏÇÑ ½ÅÈ£°µµ¸¦ º¸Àδٴ Á¡ÀÌ ÃéÀåÀÇ °íÇü¼º Á¾¾ç°úÀÇ °¨º°¿¡
Å« µµ¿òÀ» ÁØ´Ù. ÇÙÀÇÇÐ °Ë»ç·Î´Â ¿¼Õ»óÀûÇ÷±¸½ÅƼ±×·¡ÇÇ°¡ ºÎºñÀå Áø´Ü¿¡ ÀÌ¿ëµÈ´Ù.
|
References |
Mortelé KJ, Mortelé B, Silverman SG. CT features of the accessory spleen. AJR Am J Roentgenol 2004;183:1653-1657 |
Keywords |
Spleen, infacrt |
Attachment File |
- |
Number of Applicants : 40
Correct Answer |
15 |
Mayo Clinic |
Hiroaki Takahashi |
Fukuoka University |
Keisuke Sato |
Mallinckrodt Institute of Radiology |
Naganathan Mani |
Áß¾Óº¸Èƺ´¿ø |
±èÁÖÈñ |
¾ç»êºÎ»ê´ëÇб³º´¿ø |
±èÁöȯ |
Áß¾Óº¸Èƺ´¿ø |
³ëÁöÈÆ |
ÇØ¿î´ë¹éº´¿ø |
¹ÚÇüÀÎ |
- |
º¯¼ºÈ¯ |
¼¿ï¼º¸ðº´¿ø |
¼Û¿µ¶õ |
Áß¾Óº¸Èƺ´¿ø |
½ÅÀ±°æ |
Áß¾Óº¸Èƺ´¿ø |
¿©¼ºÈñ |
ÀÇÁ¤ºÎ¼º¸ðº´¿ø |
À̼ö¸² |
¼¿ï´ëº´¿ø |
ÁÖÀÌÁø |
¼¿ï¾Æ»êº´¿ø |
ÃÖÀ翬 |
»êº» ¿ø±¤´ëº´¿ø |
ÇϸðÀÎ |