{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T15:27:13Z","timestamp":1780414033801,"version":"3.54.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T00:00:00Z","timestamp":1373932800000},"content-version":"vor","delay-in-days":196,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>We report an extremely rare and challenging combination of congenital anomalies. Only five similar cases have been described in the English language medical literature to date.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>\n                      A male infant was born at 30\n                      <jats:sup>+5<\/jats:sup>\n                      weeks gestation by emergency caesarian section. Cervical spine rachischisis, shortened oesophagus, intrathoracic stomach, atretic duodenum and absent spleen were noted, in addition to respiratory insufficiency. Gastrointestinal re-anastomosis, particularly oesophageal lengthening, was not feasible at the initial thoracotomy. Surgical stabilization of the cervical spine was unlikely to be successful until two years of age. Asplenia predisposed the infant to sepsis from encapsulated organisms, and recurrent respiratory infections occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>A close relationship exists between the upper gastrointestinal tract and cervical spine during embryonic development. An embryonic aberration at this level could account for all the deformities present in this infant. Tethering of the embryonic cervical oesophagus to the somites in the first trimester, preventing foregut elongation, and producing ischaemia at the coeliac axis, is suggested as the aetiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>This case presented a challenge to the multi-disciplinary team involved in his management and prompted extensive consultation with international experts. After considerable counseling of the parents, care was directed towards palliation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2012.11.005","type":"journal-article","created":{"date-parts":[[2013,2,26]],"date-time":"2013-02-26T23:16:13Z","timestamp":1361920573000},"page":"511-514","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Extensive cervical spine and foregut anomaly in 'serpentine syndrome'"],"prefix":"10.1097","volume":"4","author":[{"given":"D.","family":"Dargan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"McMorrow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.W.","family":"Bourke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.A.","family":"McCallion","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.M.","family":"Verner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Lyons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.S.","family":"McConnell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.T.","family":"Lundy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.W.A.","family":"Eames","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-22-20260223","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1016\/j.jpedsurg.2008.02.055","article-title":"Of snakes and babies: intrathoracic stomach and vertebral rachischisis. A serpentine-like syndrome?","volume":"43","author":"Katz","year":"2008","journal-title":"Journal of Pediatric Surgery"},{"key":"R2-22-20260223","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1159\/000108927","article-title":"Congenital intrathoracic stomach: short esophagus or hiatal hernia?","volume":"93","author":"Leung","year":"2008","journal-title":"Neonatology"},{"key":"R3-22-20260223","doi-asserted-by":"crossref","first-page":"e25","DOI":"10.1016\/j.jpedsurg.2009.05.024","article-title":"Multiorgan developmental anomalies presenting as a variation of the serpentine-like syndrome: cervical fusion and brachioesophagus with intrathoracic stomach and malposition of duodenopancreas and spleen","volume":"44","author":"Deprez","year":"2009","journal-title":"Journal of Pediatric Surgery"},{"key":"R5-22-20260223","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/j.ultrasmedbio.2005.02.013","article-title":"Fetal spine ossification: the gender and individual differences illustrated by ultrasonography","volume":"31","author":"Vignolo","year":"2005","journal-title":"Ultrasound in Medicine and Biology"},{"key":"R6-22-20260223","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1136\/adc.35.179.76","article-title":"Developmental posterior enteric remnants and spinal malformations","volume":"35","author":"Bentley","year":"1960","journal-title":"Archives of Disease in Childhood"},{"key":"R7-22-20260223","first-page":"512","article-title":"Neurenteric cysts in children: 16 consecutive cases and review of the literature","volume":"103","author":"Santos de Oliveira","year":"2005","journal-title":"Journal of Neurosurgery: Paediatrics"},{"key":"R8-22-20260223","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1002\/uog.4003","article-title":"Prenatal diagnosis of the rarely observed split notochord syndrome","volume":"29","author":"Kimya","year":"2007","journal-title":"Ultrasound in Obstetrics and Gynaecology"},{"key":"R9-22-20260223","first-page":"1246","article-title":"Klippel-Feil syndrome; a constellation of associated anomalies","volume":"56","author":"Hensinger","year":"1974","journal-title":"The Journal of Bone and Joint Surgery American Volume"},{"key":"R10-22-20260223","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1002\/ajmg.1320400304","article-title":"Jarcho Levin syndrome: four new cases and classification of subtypes","volume":"40","author":"Karnes","year":"1991","journal-title":"American Journal of Medical Genetics"},{"key":"R11-22-20260223","first-page":"418","article-title":"Association of hiatus hernia with asplenia syndrome","volume":"152","author":"Wang","year":"1993","journal-title":"European Journal of Paediatrics"},{"key":"R12-22-20260223","first-page":"571","article-title":"Achondrogenesis\u2026 hypochondrogenesis: the spectrum of chondrogenesis imperfecta a radiological","volume":"8","author":"van der Hartet","year":"1988","journal-title":"Ultrasonographic, and Histopathologic Study of 23 Cases Fetal and Pediatric Pathology"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261212002076?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261212002076?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201304050-00022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T21:00:27Z","timestamp":1771880427000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201304050-00022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2012.11.005","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}