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Case Reports in Surgery
Volume 2015, Article ID 890602, 4 pages
http://dx.doi.org/10.1155/2015/890602
Case Report

Splenosis: A Rare Etiology for Bowel Obstruction—A Case Report and Review of the Literature

1Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226, USA
2Department of Surgery, Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, VA 22041, USA

Received 8 September 2015; Accepted 27 September 2015

Academic Editor: Akihiro Cho

Copyright © 2015 George Younan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Splenosis is a historically uncommon etiology for bowel obstruction. Autotransplanted splenic tissues following surgery or trauma of the spleen are known to occur in multiple locations of the abdominal cavity and pelvis. The small bowel mesentery is a blood vessel-rich environment for growth of splenic fragments. We present a case of a 36-year-old male patient who sustained a gunshot wound to his left abdomen requiring a splenectomy and bowel resection fifteen years prior to his presentation with small bowel obstruction requiring exploration, adhesiolysis, and resection of the mesenteric splenic deposit. Our aim in this report is to provide awareness of splenosis as an etiology for bowel obstruction, especially with increased incidence and survival following abdominal traumas requiring splenectomies. We also stress on the importance of history and physical examination to include splenosis on the list of differential diagnoses for bowel obstruction.