case_images: PMC9485545_01
case_images: Coronal section CT scan of abdomen. Organ inversion, splenomegaly, and intestinal effusion-labeled spleen.
case_images: fsurg-09-916426-g001.jpg
case_images: PMC9485545_01_fsurg-09-916426-g001.jpg
case_images: F1
case_images: An abdominal computed tomography (CT) showed abdominal organ inversion, splenomegaly, and intestinal effusion-labeled spleen (Figure 1).
case_images: Abdominal CT reexamination on 24 November 2018. The spleen was absent.
case_images: fsurg-09-916426-g002.jpg
case_images: PMC9485545_01_fsurg-09-916426-g002.jpg
case_images: F2
case_images: 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).
case_images: Intraoperative exploration of the spleen.
case_images: fsurg-09-916426-g003.jpg
case_images: PMC9485545_01_fsurg-09-916426-g003.jpg
case_images: F3
case_images: 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).
case_images: The twisted splenic pedicle.
case_images: fsurg-09-916426-g004.jpg
case_images: PMC9485545_01_fsurg-09-916426-g004.jpg
case_images: F4
case_images: 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).
case_images: Dissection of the mesoappendix.
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case_images: PMC9485545_01_fsurg-09-916426-g005.jpg
case_images: F5
case_images: After laparoscopic appendectomy (Figure 5), the infarcted spleen was removed under laparoscopic localization (Figure 6).
case_images: The resected infarcted spleen.
case_images: fsurg-09-916426-g006.jpg
case_images: PMC9485545_01_fsurg-09-916426-g006.jpg
case_images: F6
case_images: After laparoscopic appendectomy (Figure 5), the infarcted spleen was removed under laparoscopic localization (Figure 6).
case_images: The pathology of the splenic pedicle (magnification x 400).
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case_images: PMC9485545_01_fsurg-09-916426-g007.jpg
case_images: F7
case_images: 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.
case_images: The appendix pathology (magnification x 100).
case_images: fsurg-09-916426-g008.jpg
case_images: PMC9485545_01_fsurg-09-916426-g008.jpg
case_images: F8
case_images: Figure 8 shows the appendix pathology (100x).
case_images: Inflammatory manifestation (magnification x 100).
case_images: fsurg-09-916426-g009.jpg
case_images: PMC9485545_01_fsurg-09-916426-g009.jpg
case_images: F9
case_images: Figure 9 shows appendicitis.