{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:21:14Z","timestamp":1789647674182,"version":"4.0.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The exomphalos minor or small omphalocele is a defect of the abdominal wall smaller than 5 cm, located in the umbilical cord. It presents a sac containing intra-abdominal organs, mainly the small intestine. The main surgical objective is to repair the defected wall, preserving the intra-abdominal structures inside the sac. A floating gallbladder is unusual in this pathology; however, it must be removed when that occurs due to the risk of torsion, inflammation, and volvulus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>We present the case of a 7-day-old patient who comes to the emergency room with an abdominal mass. The physical examination shows minor exomphalos with local signs of inflammation. Genetic, chromosomal, and imaging studies are solicited. The abdominal ultrasonography report shows the absence of the gallbladder in the liver. The patient requires surgical correction of abdominal wall defect. The gallbladder is found inside the sac of defect that does not have a hepatic fixation; a cholecystectomy is performed. The patient presents a satisfactory postoperative evolution and is discharged.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      The exomphalos minor is a malformation of the abdominal wall. It needs surgical treatment; this must be done carefully, preserving the intra-abdominal organs inside the sac as much as possible. The gallbladder without hepatic fixation, elongated\n                      <jats:italic toggle=\"yes\">meso<\/jats:italic>\n                      , or suspended by its pedicle is unusual in pediatric age, and they present a higher risk of torsion, inflammation, and necrosis. For this reason, cholecystectomy is indicated. A minor exomphalos has a better prognosis when the defect is small. It is not associated with malformations or associated structural alterations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.106809","type":"journal-article","created":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T11:57:58Z","timestamp":1643975878000},"page":"106809","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Floating gallbladder in exomphalos minor an exceptional condition that should be considered, a case report"],"prefix":"10.1097","volume":"92","author":[{"given":"G\u00e1lvez Salazar","family":"Patricio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis M.","family":"Figueroa G","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solarte Henao","family":"Jorge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena Rinc\u00f3n","family":"Caicedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres Felipe Valencia","family":"Cardona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristhian D.","family":"Garc\u00eda Cardona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-6-20260310","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R2-6-20260310","first-page":"51","article-title":"Giant omphalocele complicated by 9P minus syndrome","volume":"113","author":"Alexander","year":"2021","journal-title":"J. Natl. Med. Assoc"},{"key":"R3-6-20260310","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1053\/j.sempedsurg.2019.04.007","article-title":"Prenatal diagnosis and management of omphalocele","volume":"28","author":"Verla","year":"2019","journal-title":"Semin. Pediatr. Surg"},{"key":"R4-6-20260310","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/j.jpedsurg.2005.11.013","article-title":"Congenital anomalies are commonly associated with exomphalos minor","volume":"41","author":"Groves","year":"2006","journal-title":"J. Pediatr. Surg"},{"key":"R5-6-20260310","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.jpedsurg.2016.10.004","article-title":"Umbilical cord sparing technique for repair of congenital hernia into the cord and small omphalocele","volume":"52","author":"Ceccanti","year":"2017","journal-title":"J. Pediatr. Surg"},{"key":"R6-6-20260310","doi-asserted-by":"crossref","first-page":"90","DOI":"10.4174\/astr.2016.91.2.90","article-title":"Meckel diverticulum in exomphalos minor","volume":"91","author":"Sohn","year":"2016","journal-title":"Ann. Surg. Treat. Res"},{"key":"R8-6-20260310","first-page":"169","article-title":"Importance of the early management of omphalocele minor","volume":"4","author":"Hamid","year":"2015","journal-title":"J. Neonatal. Biol"},{"key":"R9-6-20260310","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1016\/S0022-3468(97)90454-1","article-title":"Two cases of torsion of the gallbladder diagnosed preoperatively","volume":"32","author":"Kitagawa","year":"1997","journal-title":"J. Pediatr. Surg"},{"key":"R10-6-20260310","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1001\/archsurg.1936.01180190134008","article-title":"Congenital anomalies of the gallbladder","volume":"32","author":"Gross","year":"1936","journal-title":"Arch. Surg"},{"key":"R11-6-20260310","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.12659\/AJCR.916234","article-title":"A rare presentation of gall bladder volvulus: a case report","volume":"20","author":"Kachi","year":"2019","journal-title":"Am. J. Case Rep"},{"key":"R12-6-20260310","first-page":"105","article-title":"Volvulus of the gallbladder","volume":"116","author":"Carter","year":"1963","journal-title":"Surg Gynecol Obstet"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222000554?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222000554?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.106809","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T10:01:16Z","timestamp":1773136876000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.106809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.106809","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}