Subject(s)
Liver , Multimodal Imaging , Omentum/diagnostic imaging , Positron-Emission Tomography , Schistosomiasis/surgery , Spleen/diagnostic imaging , Spleen/pathology , Splenosis/diagnostic imaging , Tomography, X-Ray Computed , Child , Female , Follow-Up Studies , Humans , Male , Schistosomiasis/complications , Splenosis/complications , Time FactorsABSTRACT
Initially described by Buchbinder and Lipkoff in 1929, esplenosis is the transplant of the splenic heterotopy weave in the abdominal cavity. It is observed after the splenic traumatic rupture and appendectomy. It occurs also during the embryonic development. The most frequent places where it takes place are: the intrathoraxic cavity, intraperitoneal, retroperitoneo, and brain. Although the presence of this ectopic splenic weave is symptomatic, this pathology can be evident by pain in the pelvis or it can be confused with other pathologies such as hemangiomas of intestine, and endometriosis including metastasis carcinoma. It is impossible to predict which patients will develop the splenosis after the splenic trauma. The time of rupture or damage of the splectonomy and the amount of blood in the peritoneal cavity are not related with the number of implants. The symptoms are the clue. When the splenosis is diagnosed incidentally in a symptomatic patient, the complete surgery removal is not indicated. However this surgery is recommended when the abdominal pain or the diagnosis is uncertain. In this paper a case with a secondary pelvic pain, probably due to a tubaric abortion, agreeing with secondary splenosis and a traumatic splenic rupture, is reported.
Subject(s)
Pelvic Pain/etiology , Pregnancy, Ectopic/complications , Splenosis/complications , Adult , Female , Humans , Laparoscopy , Pelvic Pain/diagnostic imaging , Pelvic Pain/surgery , Pregnancy , Pregnancy, Ectopic/diagnostic imaging , Pregnancy, Ectopic/surgery , Splenosis/diagnostic imaging , Splenosis/surgery , Treatment Outcome , UltrasonographyABSTRACT
La ausencia del bazo predispone al individuo a la sepsis fulminante. Cualquier agente etiológico puede ocasionar una septicemia de inicio brusco, una neumonía, una meningitis o un shock séptico; pero los agentes más frecuentemente comprometidos son el neumococo, el hemófilus influenza tipo B y el meningococo. Los lactantes y niños de primera infancia están especialmente expuestos a esta complicación. Hasta ahora los tratamientos para prevenir e interrumpir la sepsis fulminante no han sido totalmente exitosos. Se revisaron 12 casos de pacientes con aesplenia-hipoesplenia del archivo de patología pediátrica que fueron estudiados por autopsia, con especial consideración de la causa de muerte y de las patologías asociadas. Se individualizaron 6 casos de sepsis. (AU)