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Esplenosis ectópica abdominal en el embarazo: reporte de un caso
1Department of Reproductive Endocrinology, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital of Sichuan University, China.
The Journal of international medical research
|January 31, 2026
Resumen
La esplenosis ectópica, una afección que implica tejido esplénico fuera del bazo, puede encontrarse incidentalmente durante el embarazo. Este caso destaca la mínima intervención y la imagen multimodal para el manejo de esta rara complicación del embarazo.
Área de la Ciencia:
- Medicina Reproductiva
- Imagenología Abdominal
- Patología Quirúrgica
Sus antecedentes:
- La esplenosis ectópica resulta de la sobrecarga o migración de células mieloides esplénicas después de un traumatismo/esplenectomía.
- Con frecuencia es asintomática y se descubre incidentalmente mediante imágenes.
- Las imágenes de la esplenosis carecen de especificidad, imitando a menudo tumores.
Objetivo del estudio:
- Presentar un caso de esplenosis ectópica diagnosticada durante el embarazo.
- Enfatizar la importancia de la historia clínica y la imagen multimodal en el diagnóstico.
- Abogar por un enfoque de mínima intervención en el manejo de la esplenosis complicada por el embarazo.
Principales métodos:
- Reporte de caso de una primigesta con masas abdominales detectadas incidentalmente durante la ecografía prenatal.
- Consulta multidisciplinaria y análisis de marcadores tumorales.
- Inducción del parto con misoprostol y balón de Cook, seguido de parto vaginal.
Principales resultados:
- Se identificaron múltiples masas hipoecoicas consistentes con esplenosis ectópica.
- La paciente se mantuvo asintomática durante todo el embarazo.
- Se logró un parto vaginal exitoso con mínima intervención.
Conclusiones:
- La esplenosis ectópica en el embarazo requiere una cuidadosa consideración diagnóstica, diferenciándola de las afecciones neoplásicas.
- La historia clínica detallada y la imagen multimodal son cruciales para un diagnóstico preciso.
- Se recomienda una estrategia conservadora de mínima intervención para el manejo de la esplenosis asociada al embarazo.
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