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Updated: Sep 10, 2025

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Omental splenosis causing small bowel obstruction in a pediatric patient: A case report
Mohammad Al-Jawad1, Hamza Boushi1, Alamira Dana Dahhan1
1University of Aleppo, Faculty of Medicine, Aleppo, Syria.
Introduction:
Splenosis, 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.
Conclusion:
This 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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