Highlights
Primary splenic hydatidosis is an uncommon entity.
Total splenectomy is considered the standard treatment, but carries multiple risks.
Partial splenectomy offers comparable outcomes with reduced morbidity.
Partial splenectomy is recommended for simple, single, small, and peripherally located cysts.
Laparoscopic cyst unroofing is feasible in treating primary splenic hydatid cysts.
Splenosis is the autotransplantation of splenic tissue into abnormal locations due to trauma or iatrogenically. Usually, this causes no symptoms, but in rare cases the mass effect of the transplanted nodules can cause small bowel obstruction. Resection of the culprit splenic tissue is recommended, but not more extensive dissection of non-involved nodules. Our patient presented at 43 years of age with abdominal pain, distention and bilious vomiting. He had undergone a splenectomy at the age of 13 years due to splenic rupture after a motor vehicle collision. Computed tomography demonstrated a small bowel obstruction with multiple nodules suspicious of splenosis. The obstructing mass and compromised bowels. were resected. Final pathology confirmed the diagnosis. Splenosis is an uncommon aetiology of small bowel obstruction and must be considered in patients who had previous splenic trauma or surgery.
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