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Esplenosis omental que causa obstrucción del intestino delgado en un paciente pediátrico: un informe de caso

Mohammad Al-Jawad¹, Hamza Boushi¹, Alamira Dana Dahhan¹

¹University of Aleppo, Faculty of Medicine, Aleppo, Syria.

International journal of surgery case reports

|August 23, 2025

Resumen

La esplenosis omental, tejido ectópico de la médula, puede causar obstrucción intestinal grave en niños después de la esplenectomía. La intervención quirúrgica temprana es crucial para el diagnóstico y el tratamiento de esta rara complicación.

Área de la Ciencia:

Cirugía pediátrica
Cirugía gastrointestinal
Patología quirúrgica

Sus antecedentes:

La esplenosis, el autotransplante de tejido esplénico, es una consecuencia rara de la esplenectomía o el trauma esplénico.
Es típicamente benigna y asintomática, a menudo descubierta incidentalmente.
Este caso pone de relieve una rara presentación de la esplenosis en un paciente pediátrico.

Objetivo del estudio:

Para reportar el primer caso pediátrico de esplenosis omental causando obstrucción intestinal.
Para resaltar los desafíos de diagnóstico y las implicaciones quirúrgicas de la esplenosis.

Principales métodos:

Un niño de 10 años con antecedentes de esplenectomía presentado con obstrucción intestinal.
La laparotomía de diagnóstico reveló esplenosis omental causando una hernia interna.
La histopatología confirmó la esplenosis después de la omentectomía y la adhesiólisis.

Principales resultados:

La esplenosis omental fue identificada como la causa de la obstrucción intestinal debido a adherencias y hernias internas.
La intervención quirúrgica condujo a una recuperación completa.
Este caso subraya el potencial de complicaciones graves de la esplenosis.

Conclusiones:

La esplenosis puede presentarse como una condición potencialmente mortal, particularmente la obstrucción intestinal en pacientes pediátricos.
La sospecha clínica es crucial en pacientes con emergencias abdominales después de la esplenectomía, incluso con imágenes no específicas.
Puede ser necesaria una intervención quirúrgica temprana antes de un diagnóstico definitivo.

Palabras clave:

Esplenosis Obstrucción intestinal informe de caso

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