PMC9485545_01
Coronal section CT scan of abdomen. Organ inversion, splenomegaly, and intestinal effusion-labeled spleen.
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F1
An abdominal computed tomography (CT) showed abdominal organ inversion, splenomegaly, and intestinal effusion-labeled spleen (Figure 1).
Abdominal CT reexamination on 24 November 2018. The spleen was absent.
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F2
One year after the operation, a CT re-examination on 24 November 2018 showed that the spleen was absent, and no abnormality was found in other abdominal organs (Figure 2).
Intraoperative exploration of the spleen.
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F3
The exploration showed that the spleen was located on the right side of the abdominal cavity and covered with capsules on the surface (Figure 3), and the splenic pedicle was twisted (Figure 4).
The twisted splenic pedicle.
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F4
The exploration showed that the spleen was located on the right side of the abdominal cavity and covered with capsules on the surface (Figure 3), and the splenic pedicle was twisted (Figure 4).
Dissection of the mesoappendix.
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F5
After laparoscopic appendectomy (Figure 5), the infarcted spleen was removed under laparoscopic localization (Figure 6).
The resected infarcted spleen.
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F6
After laparoscopic appendectomy (Figure 5), the infarcted spleen was removed under laparoscopic localization (Figure 6).
The pathology of the splenic pedicle (magnification x 400).
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F7
Figure 7 shows the pathology of the splenic pedicle (400x): blood vessels were highly dilated and congested; some blood vessels were distorted; and the wall thickness was uneven, accompanied by edema, degeneration, and some thrombosis.
The appendix pathology (magnification x 100).
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F8
Figure 8 shows the appendix pathology (100x).
Inflammatory manifestation (magnification x 100).
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F9
Figure 9 shows appendicitis.