<?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>0026-1742</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina (México)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Med. (Méx.)]]></abbrev-journal-title>
<issn>0026-1742</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0026-17422025000100020</article-id>
<article-id pub-id-type="doi">10.22201/fm.24484865e.2025.68.1.03</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Torsión esplénica. Reporte de caso en paciente pediátrico]]></article-title>
<article-title xml:lang="en"><![CDATA[Splenic Torsion: Case Report in a Pediatric Patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Argüello Bolaños]]></surname>
<given-names><![CDATA[Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Canseco García]]></surname>
<given-names><![CDATA[Reynaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alanis Coello]]></surname>
<given-names><![CDATA[Gerardo Adolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marrufo Sumano]]></surname>
<given-names><![CDATA[Esteban]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General &#8220;Dr. Macedonio Benítez Fuentes&#8221;  ]]></institution>
<addr-line><![CDATA[Juchitán de Zaragoza Oaxaca]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<volume>68</volume>
<numero>1</numero>
<fpage>20</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0026-17422025000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0026-17422025000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0026-17422025000100020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El bazo errante es una condición inusual causada por la ausencia o hiperlaxitud de los ligamentos esplénicos, lo que permite su desplazamiento hacia el abdomen inferior y lo deja suspendido únicamente por su pedículo vascular elongado. Esta patología puede ser asintomática o manifestarse con dolor abdominal agudo o crónico, dependiendo de la extensión de la torsión del pedículo y el grado de compromiso vascular. Presentamos el caso de un paciente pediátrico de 4 años que ingresó al servicio de urgencias con abdomen agudo tras un traumatismo abdominal. Durante la laparotomía exploratoria, se identificó torsión del pedículo esplénico con necrosis del bazo, lo que requirió esplenectomía. El diagnóstico fue respaldado por hallazgos imagenológicos de esplenomegalia y hemorragia subcapsular, mientras que el análisis intraoperatorio reveló un bazo de 12 cm adherido al epiplón gastrocólico con ausencia de la mayoría de los ligamentos esplénicos. Aunque la esplenopexia es el tratamiento de elección en bazos viables, en este caso fue necesaria la esplenectomía debido a la inviabilidad del órgano. Este reporte subraya la importancia de un diagnóstico temprano y un manejo quirúrgico oportuno para prevenir complicaciones asociadas con esta rara patología.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Wandering spleen is an uncommon condition caused by the absence or hyperlaxity of the splenic ligaments, allowing its displacement into the lower abdomen and leaving it suspended solely by its elongated vascular pedicle. This pathology can be asymptomatic or present with acute or chronic abdominal pain, depending on the extent of pedicle torsion and the degree of vascular compromise. We present the case of a 4-year-old pediatric patient who was admitted to the emergency department with an acute abdomen following abdominal trauma. During exploratory laparotomy, splenic pedicle torsion with splenic necrosis was identified, necessitating a splenectomy. The diagnosis was supported by imaging findings of splenomegaly and extensive subcapsular hemorrhage, while intraoperative analysis revealed a 12 cm spleen adhered to the gastrocolic omentum, with the absence of most splenic ligaments. Although splenopexy is the treatment of choice for viable spleens, in this case, splenectomy was required due to the organ&#8217;s nonviability. This report emphasizes the importance of early diagnosis and timely surgical management to prevent complications associated with this rare condition.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bazo errante]]></kwd>
<kwd lng="es"><![CDATA[torsión esplénica]]></kwd>
<kwd lng="es"><![CDATA[esplenectomía]]></kwd>
<kwd lng="es"><![CDATA[esplenopexia]]></kwd>
<kwd lng="es"><![CDATA[abdomen agudo]]></kwd>
<kwd lng="es"><![CDATA[traumatismo abdominal]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico temprano]]></kwd>
<kwd lng="en"><![CDATA[Wandering spleen]]></kwd>
<kwd lng="en"><![CDATA[splenic torsion]]></kwd>
<kwd lng="en"><![CDATA[splenectomy]]></kwd>
<kwd lng="en"><![CDATA[splenopexy]]></kwd>
<kwd lng="en"><![CDATA[splenic ligaments]]></kwd>
<kwd lng="en"><![CDATA[acute abdomen]]></kwd>
<kwd lng="en"><![CDATA[abdominal trauma]]></kwd>
<kwd lng="en"><![CDATA[splenomegaly]]></kwd>
<kwd lng="en"><![CDATA[subcapsular hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[early diagnosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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