Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Pediatric Case of Small Bowel Obstruction Caused by Splenosis
Jiro KIMURAKiyoshi SASAKI
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2015 Volume 76 Issue 7 Pages 1777-1781

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Abstract
A 14-year-old boy had a past medical history of splenectomy for trauma at 2 years old. Because of intermittent abdominal pain and vomiting, he was taken to the emergency room. Contrast-enhanced CT showed beak sign as a sign of small bowel obstruction, and laparotomy was therefore performed. A small mass was incarcerated within a loop consisting of an adherent band. The band and mass were excised. Histopathological examination showed splenic tissue. Small bowel obstruction was triggered by splenosis. If a patient with a history of splenic injury or splenectomy complains of abdominal symptoms, splenosis must always be considered as a differential diagnosis.
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© 2015 Japan Surgical Association
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