A rare etiology for bowel obstruction
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Splenic fragments after trauma or surgery have the ability to heterotopically autotransplant onto vascularized intra- or extraperitoneal surfaces. Most common locations of splenic deposits are in the vicinity of the left upper quadrant, typically involving the serosal surfaces of a small and large bowel, the greater omentum, and diaphragm, but sometimes they can grow in the nearby mesentery or be found in very unusual locations. Most cases are asymptomatic and are incidentally diagnosed during imaging studies or surgical explorations for other conditions. We present in this report a case of mesenteric splenosis resulting in adhesive small obstruction requiring exploration, adhesiolysis, and splenosis resection...

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