<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902025000301703</article-id>
<article-id pub-id-type="doi">10.29193/rmu.41.3.12</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Esplenosis del tejido celular subcutáneo de pared abdominal]]></article-title>
<article-title xml:lang="en"><![CDATA[Splenosis of the abdominal wall subcutaneous tissue]]></article-title>
<article-title xml:lang="pt"><![CDATA[Esplenose do tecido celular subcutâneo da parede abdominal]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marrero]]></surname>
<given-names><![CDATA[Gregory]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[Maite]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,Hospital Maciel  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902025000301703&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902025000301703&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902025000301703&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la esplenosis en el tejido celular subcutáneo de la pared abdominal es extremadamente infrecuente. De hecho, solo existen 16 casos publicados en la literatura internacional, siendo la mayoría secundarios a esplenectomía por trauma. Solo uno se vincula con esplenectomía indicada por un púrpura trombocitopénico autoinmune (PTA).  Objetivo: comunicar un caso clínico de esplenosis en tejido de celular subcutáneo en un paciente esplenectomizado por PTA.  Caso clínico: hombre, 25 años. Esplenectomizado a los 6 años por púrpura trombocitopénico autoinmune. Consulta por tumoración en comisura externa de incisión transversa de hipocondrio izquierdo de un año de evolución, crecimiento lento. Del examen: tumoración bien delimitada, firme, de 2 cm de diámetro, móvil, sin vinculación con la piel y plano muscular, no dolorosa. Ecografía de partes blandas que plantea esplenosis parietal de acuerdo con el antecedente quirúrgico. Se confirma diagnóstico con tomografía axial computarizada de abdomen. Se realiza procedimiento de coordinación, se reseca de forma completa, incluyendo losange de piel y tejido celular subcutáneo, como forma de evitar su rotura. La anatomía patológica confirma esplenosis parietal.  Discusión: la esplenosis constituye el autotrasplante heterotópico de células esplénicas secundarias a la rotura de bazo por traumatismo o durante esplenectomía por enfermedades hematológicas, entre otras. Al día de hoy, existe escasa bibliografía sobre esplenosis parietal, siendo el sitio de implantación más frecuente el orificio de salida por herida de arma de fuego, seguido por la herida quirúrgica. La funcionalidad del implante es un tema de debate, se requieren entre 25 y 30 cc de tejido esplénico, valor muy por encima de los aproximadamente 8 cc de nuestro caso. Por su parte, el implante puede ser motivo de recidiva de la enfermedad hematológica que motivó la esplenectomía, no siendo este el caso de nuestro paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Splenosis in the subcutaneous tissue of the abdominal wall is extremely rare, with only 16 cases reported in the international literature, most of them secondary to splenectomy due to trauma. Only one case has been linked to splenectomy indicated for immune thrombocytopenic purpura (ITP).  Objective: to report a clinical case of splenosis in subcutaneous tissue in a patient who underwent splenectomy for ITP.  Clinical case: 25-year-old man. Underwent splenectomy at the age of six due to immune thrombocytopenic purpura. Presented with a slow-growing mass at the external commissure of a left hypochondrium transverse incision, evolving over one year. On examination: well-defined, firm mass, 2 cm in diameter, mobile, not attached to the skin or muscle plane, and non-tender. Soft tissue ultrasound suggested parietal splenosis based on the surgical history. Diagnosis was confirmed by abdominal computed tomography. A scheduled surgical procedure was performed, with complete resection of the lesion, including a lozenge of skin and subcutaneous tissue to prevent rupture. Histopathology confirmed parietal splenosis.  Discussion: splenosis is the heterotopic autotransplantation of splenic cells following splenic rupture due to trauma or splenectomy performed for hematological diseases, among others. There is limited literature on parietal splenosis, with the most frequent implantation site being the exit wound of a gunshot injury, followed by surgical wounds. The functionality of the implant remains a matter of debate, with between 25 and 30 cc of splenic tissue required for functional activity, far greater than the approximately 8 cc observed in our case. Furthermore, the implant can potentially lead to recurrence of the hematologic disease that initially prompted splenectomy, although this was not the case for our patient.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: a esplenose no tecido celular subcutâneo da parede abdominal é extremamente rara, com apenas 16 casos publicados na literatura internacional, sendo a maioria secundária à esplenectomia por trauma. Apenas um caso foi associado à esplenectomia indicada por púrpura trombocitopênica imune (PTI).  Objetivo: relatar um caso clínico de esplenose em tecido subcutâneo em paciente submetido a esplenectomia por PTI.  Caso clínico: homem de 25 anos. Submetido à esplenectomia aos seis anos de idade por púrpura trombocitopênica imune. Consultou por uma tumoração de crescimento lento na comissura externa da incisão transversa do hipocôndrio esquerdo, com evolução de um ano. Ao exame físico: tumoração bem delimitada, firme, com 2 cm de diâmetro, móvel, sem aderência à pele ou ao plano muscular, e indolor. Ultrassonografia de partes moles sugeriu esplenose parietal com base no antecedente cirúrgico. O diagnóstico foi confirmado por tomografia computadorizada abdominal. Foi realizado procedimento cirúrgico programado, com ressecção completa da lesão, incluindo um losango de pele e tecido subcutâneo para evitar ruptura. O exame anatomopatológico confirmou esplenose parietal.  Discussão: A esplenose é o autotransplante heterotópico de células esplênicas, secundário à ruptura esplênica por trauma ou durante esplenectomia por doenças hematológicas, entre outras causas. Há escassa literatura sobre esplenose parietal, sendo o local de implantação mais frequente o orifício de saída de ferimento por arma de fogo, seguido da ferida cirúrgica. A funcionalidade do implante ainda é debatida, sendo necessários entre 25 e 30 cc de tecido esplênico, valor muito superior aos aproximadamente 8 cc observados no nosso caso. Além disso, o implante pode causar recidiva da doença hematológica que motivou a esplenectomia, o que não ocorreu no nosso paciente.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Esplenosis en el celular subcutaneo]]></kwd>
<kwd lng="es"><![CDATA[Esplenosis parietal]]></kwd>
<kwd lng="es"><![CDATA[Esplenectomia]]></kwd>
<kwd lng="es"><![CDATA[Púrpura trombocitopenico autoinmune]]></kwd>
<kwd lng="en"><![CDATA[Splenosis in subcutaneous tissue]]></kwd>
<kwd lng="en"><![CDATA[Parietal splenosis]]></kwd>
<kwd lng="en"><![CDATA[Splenectomy]]></kwd>
<kwd lng="en"><![CDATA[Immune thrombocytopenic purpura]]></kwd>
<kwd lng="pt"><![CDATA[Esplenose em tecido subcutâneo]]></kwd>
<kwd lng="pt"><![CDATA[Esplenose parietal]]></kwd>
<kwd lng="pt"><![CDATA[Esplenectomia]]></kwd>
<kwd lng="pt"><![CDATA[Púrpura trombocitopênica imune]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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