ArticleInternational journal of surgery case reports2025
Omental splenosis causing small bowel obstruction in a pediatric patient: A case report.
Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionSplenosis, the autotransplantation of splenic tissue post-trauma/splenectomy, is typically benign and asymptomatic. We report the first reported case of omental splenosis in a pediatric patient causing bowel obstruction via adhesions/internal herniation, highlighting diagnostic challenges. CASE PRESENTATION: A 10-year-old post-splenectomy male presented with bowel obstruction. Laparotomy revealed omental splenosis causing adhesional herniation. Histopathology confirmed diagnosis after therapeutic omentectomy/adhesiolysis with full recovery. DISCUSSION: While splenosis is usually incidental, our case demonstrates its potential for severe complications. Acute presentations may require surgery before definitive imaging, emphasizing the need for clinical suspicion in post-splenectomy patients.
conclusionThis rare pediatric case illustrates splenosis' potential to cause life-threatening obstruction. Surgeons should consider splenosis in post-splenectomy abdominal emergencies, even when imaging is nonspecific.
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