[Splenosis and pelvic pain. A report of a case and literature review]. / Esplenosis y dolor pélvico. Reporte de un caso y revisión de la literatura.

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.

[Abdominal wall endometriosis. Case report and literature review]. / Endometriosis de pared abdominal. Revisión de la literatura. Informe de un caso.

Endometriosis, is a disorder affecting as many as 15% of women of childbearing age, is defined as the aberrant or heterotopic growth of glands and stroma identical to the lining uterus. Endometriosis, can be macroscopically identified generally confined to the pelvis, but it can proliferate in other areas like pleura, skin, extremities, lung, spleen, gallbladder, stomach, kidney and abdominal wall. Abdominal wall endometriosis usually occurs in the surgical scar of previous cesarean sections. This condition often looks like a cyclic abdominal pain with a palpable mass or tumor. We report a case of abdominal endometriosis. The definitive diagnosis was established by pathologic analysis.