{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:23:36Z","timestamp":1792783416660,"version":"4.5.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Fukui","id":[{"id":"https:\/\/ror.org\/00msqp585","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin J Gastroenterol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>An 80-year-old woman with Parkinson disease presented with sudden abdominal pain, back pain, and vomiting during a meal. Computed tomography revealed marked gastric dilatation with cranial displacement and rotation of the antrum, consistent with mesenteroaxial gastric volvulus. This was accompanied by an ectopic spleen adjacent to the greater curvature and suspected pedicle torsion, consistent with a wandering spleen. Nasogastric tube passage was initially unsuccessful. Emergency upper gastrointestinal endoscopy achieved gastric decompression and transient detorsion; however, immediate retorsion was observed, and continuous decompression was maintained after successful tube placement. Definitive surgery was performed on hospital day 2. The stomach was reduced and fixed to the abdominal wall via anterior gastropexy; splenectomy was performed due to marked splenic mobility and concerns about recurrent torsion. Histopathological examination revealed congestion and partial hemorrhagic infarction compatible with splenic torsion. The postoperative course was uneventful; the patient was discharged on postoperative day 14 without recurrence during the follow-up. This case underscores that immediate retorsion after endoscopic reduction might warrant prompt definitive surgery with gastropexy and management of a wandering spleen should be individualized according to mobility and splenic viability.<\/jats:p>","DOI":"10.1007\/s12328-026-02415-z","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T08:43:06Z","timestamp":1786092186000},"page":"1161-1168","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mesenteroaxial gastric volvulus associated with a wandering spleen in an older woman treated with anterior gastropexy and splenectomy: a case report"],"prefix":"10.1007","volume":"19","author":[{"given":"Hirotaka","family":"Nomiya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuya","family":"Ofuji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuto","family":"Nosaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arisa","family":"Tsuji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryotaro","family":"Sugata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadayoshi","family":"Otsuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiichi","family":"Taguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiaki","family":"Imamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasunari","family":"Nakamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Suto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"2415_CR1","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.ijsu.2009.11.002","volume":"8","author":"F Rashid","year":"2010","unstructured":"Rashid F, Thangarajah T, Mulvey D, et al. A review article on gastric volvulus: a challenge to diagnosis and management. Int J Surg. 2010;8:18\u201324. https:\/\/doi.org\/10.1016\/j.ijsu.2009.11.002.","journal-title":"Int J Surg"},{"key":"2415_CR2","first-page":"80","volume":"70","author":"AP Cardile","year":"2011","unstructured":"Cardile AP, Heppner DS. Gastric volvulus, Borchardt\u2019s triad, and endoscopy: a rare twist. Hawaii Med J. 2011;70:80\u20132.","journal-title":"Hawaii Med J"},{"key":"2415_CR3","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1097\/00007611-199704000-00017","volume":"90","author":"DC Desai","year":"1997","unstructured":"Desai DC, Hebra A, Davidoff AM, et al. Wandering spleen: a challenging diagnosis. South Med J. 1997;90:439\u201343. https:\/\/doi.org\/10.1097\/00007611-199704000-00017.","journal-title":"South Med J"},{"key":"2415_CR4","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1016\/S0022-3468(89)80395-1","volume":"24","author":"KB Allen","year":"1989","unstructured":"Allen KB, Andrews G. Pediatric wandering spleen: the case for splenopexy: review of 35 reported cases in the literature. J Pediatr Surg. 1989;24:432\u20135. https:\/\/doi.org\/10.1016\/S0022-3468(89)80395-1.","journal-title":"J Pediatr Surg"},{"key":"2415_CR5","doi-asserted-by":"publisher","DOI":"10.1186\/s40792-016-0175-0","volume":"2","author":"J Omata","year":"2016","unstructured":"Omata J, Utsunomiya K, Kajiwara Y, et al. Acute gastric volvulus associated with wandering spleen in an adult treated laparoscopically after endoscopic reduction: a case report. Surg Case Rep. 2016;2:47. https:\/\/doi.org\/10.1186\/s40792-016-0175-0.","journal-title":"Surg Case Rep"},{"key":"2415_CR6","doi-asserted-by":"publisher","first-page":"W328","DOI":"10.2214\/AJR.05.0672","volume":"188","author":"HTM Liu","year":"2007","unstructured":"Liu HTM, Lau KK. Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 2007;188:W328. https:\/\/doi.org\/10.2214\/AJR.05.0672.","journal-title":"AJR Am J Roentgenol"},{"key":"2415_CR7","doi-asserted-by":"publisher","first-page":"1146","DOI":"10.1111\/j.1572-0241.1998.00349.x","volume":"93","author":"A Uc","year":"1998","unstructured":"Uc A, Kao SC, Sanders KD, et al. Gastric volvulus and wandering spleen. Am J Gastroenterol. 1998;93:1146\u20138. https:\/\/doi.org\/10.1111\/j.1572-0241.1998.00349.x.","journal-title":"Am J Gastroenterol"},{"key":"2415_CR8","doi-asserted-by":"publisher","first-page":"181","DOI":"10.2147\/CEG.S428679","volume":"16","author":"S Basu","year":"2023","unstructured":"Basu S, Pratap A, Bhartiya SK, et al. Wandering spleen and acute gastric volvulus in an elderly woman with acute abdomen: a case report. Clin Exp Gastroenterol. 2023;16:181\u20135. https:\/\/doi.org\/10.2147\/CEG.S428679.","journal-title":"Clin Exp Gastroenterol"},{"key":"2415_CR9","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1007\/s00383-022-05125-y","volume":"38","author":"Y Nakagawa","year":"2022","unstructured":"Nakagawa Y, Uchida H, Amano H, et al. Patients with gastric volvulus recurrence have high incidence of wandering spleen requiring laparoscopic gastropexy and splenopexy. Pediatr Surg Int. 2022;38:875\u201381. https:\/\/doi.org\/10.1007\/s00383-022-05125-y.","journal-title":"Pediatr Surg Int"},{"key":"2415_CR10","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/561752","volume":"2013","author":"G Lianos","year":"2013","unstructured":"Lianos G, Vlachos K, Papakonstantinou N, et al. Gastric volvulus and wandering spleen: a rare surgical emergency. Case Rep Surg. 2013;2013:561752. https:\/\/doi.org\/10.1155\/2013\/561752.","journal-title":"Case Rep Surg"},{"key":"2415_CR11","doi-asserted-by":"publisher","DOI":"10.1177\/2047981613499755","volume":"2","author":"M Ooka","year":"2013","unstructured":"Ooka M, Kohda E, Iizuka Y, et al. Wandering spleen with gastric volvulus and intestinal non-rotation in an adult male patient. Acta Radiol Short Rep. 2013;2:2047981613499755. https:\/\/doi.org\/10.1177\/2047981613499755.","journal-title":"Acta Radiol Short Rep"},{"key":"2415_CR12","doi-asserted-by":"publisher","first-page":"486","DOI":"10.11240\/jsem.17.486","volume":"17","author":"Y Tada","year":"2014","unstructured":"Tada Y, Kitaoka H, Ito S, et al. A case of acute gastric necrosis due to gastric volvulus successfully treated by staged operation. J Jpn Soc Emerg Med. 2014;17:486\u201390. https:\/\/doi.org\/10.11240\/jsem.17.486.","journal-title":"J Jpn Soc Emerg Med"},{"key":"2415_CR13","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.5833\/jjgs.2015.0197","volume":"49","author":"K Hamada","year":"2016","unstructured":"Hamada K, Takamura Y, Kusaba T, et al. A gastric volvulus associated with wandering spleen in an adult. Jpn J Gastroenterol Surg. 2016;49:1066\u201371. https:\/\/doi.org\/10.5833\/jjgs.2015.0197.","journal-title":"Jpn J Gastroenterol Surg"},{"key":"2415_CR14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2024.109338","volume":"116","author":"ES Belayneh","year":"2024","unstructured":"Belayneh ES, Belete AW, Mitku A, Ahmed HM, Yirdaw H, Ketema T. Gastric volvulus and splenopancreatic torsion with wandering spleen: a case report. Int J Surg Case Rep. 2024;116:109338. https:\/\/doi.org\/10.1016\/j.ijscr.2024.109338.","journal-title":"Int J Surg Case Rep"},{"key":"2415_CR15","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.87114","volume":"17","author":"H Slaoui","year":"2025","unstructured":"Slaoui H, Chaouche I, Ezzoulali Z, et al. An adult case of gastric volvulus associated with wandering spleen: a case report. Cureus. 2025;17:e87114. https:\/\/doi.org\/10.7759\/cureus.87114.","journal-title":"Cureus"},{"key":"2415_CR16","doi-asserted-by":"publisher","first-page":"2710","DOI":"10.1007\/s00261-015-0429-5","volume":"40","author":"HK Pannu","year":"2015","unstructured":"Pannu HK, Oliphant M. The subperitoneal space and peritoneal cavity: basic concepts. Abdom Imaging. 2015;40:2710\u201322. https:\/\/doi.org\/10.1007\/s00261-015-0429-5.","journal-title":"Abdom Imaging"},{"key":"2415_CR17","doi-asserted-by":"publisher","first-page":"2093","DOI":"10.1016\/j.ejrad.2011.07.014","volume":"81","author":"T Sato","year":"2012","unstructured":"Sato T, Ito K, Tamada T, et al. Age-related changes in normal adult pancreas: MR imaging evaluation. Eur J Radiol. 2012;81:2093\u20138. https:\/\/doi.org\/10.1016\/j.ejrad.2011.07.014.","journal-title":"Eur J Radiol"},{"key":"2415_CR18","doi-asserted-by":"publisher","first-page":"933","DOI":"10.1002\/ca.20543","volume":"20","author":"Y Saisho","year":"2007","unstructured":"Saisho Y, Butler AE, Meier JJ, et al. Pancreas volumes in humans from birth to age one hundred taking into account sex, obesity, and presence of type-2 diabetes. Clin Anat. 2007;20:933\u201342. https:\/\/doi.org\/10.1002\/ca.20543.","journal-title":"Clin Anat"},{"key":"2415_CR19","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1002\/agm2.12185","volume":"4","author":"L Wang","year":"2021","unstructured":"Wang L, Jia H, Lin G, et al. Magnetic resonance imaging investigation of age-related morphological changes in the pancreases of 226 Chinese. Aging Med. 2021;4:297\u2013303. https:\/\/doi.org\/10.1002\/agm2.12185.","journal-title":"Aging Med"},{"key":"2415_CR20","doi-asserted-by":"publisher","first-page":"4200","DOI":"10.3748\/wjg.v16.i33.4200","volume":"16","author":"YC Hsu","year":"2010","unstructured":"Hsu YC, Perng CL, Chen CK, Tsai JJ, Lin HJ. Conservative management of chronic gastric volvulus: 44 cases over 5 years. World J Gastroenterol. 2010;16:4200\u20135. https:\/\/doi.org\/10.3748\/wjg.v16.i33.4200.","journal-title":"World J Gastroenterol"}],"container-title":["Clinical Journal of Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12328-026-02415-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12328-026-02415-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12328-026-02415-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T12:43:09Z","timestamp":1791376989000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12328-026-02415-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,7]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["2415"],"URL":"https:\/\/doi.org\/10.1007\/s12328-026-02415-z","relation":{},"ISSN":["1865-7257","1865-7265"],"issn-type":[{"value":"1865-7257","type":"print"},{"value":"1865-7265","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,7]]},"assertion":[{"value":"16 June 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare that they have no conflict of interest.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures followed were in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and its later amendments.","order":2,"name":"Ethics","label":"Human\/animal rights","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed consent was obtained from the patient included in the study.","order":3,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}]}}