{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:22:51Z","timestamp":1786990971203,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"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":[[2024,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Gastric volvulus is an uncommon potentially life-threatening medical condition characterized by rotation of the stomach or part of the stomach around its longitudinal or transverse axis. Acute gastric volvulus usually presents with the triads of epigastric pain, nonproductive retching, and inability to pass the nasogastric tube. Diagnosis is assisted with abdominal and chest x-ray and contrast studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 53-year-old female presented with abdominal pain of two days duration which started at the epigastric region and later on became diffuse all over the abdomen. She had associated frequent episodes of vomiting which were initially bilious followed by nonproductive retching and low-grade intermittent fever. Abdominal examination showed a distended, diffusely tender abdomen with an ill-defined epigastric mass. Abdominal X-ray showed central abdominal circular opacity continuous with stomach outline. Intraoperative findings revealed perforated gangrenous mesenteroaxial gastric volvulus and splenopancreatic torsion with wandering spleen. Proximal subtotal gastrectomy with esophagogastric anastomosis and splenopexy was performed. The patient was discharged on the 10th postoperative day and had an uneventful post-operative recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Primary gastric volvulus is usually mesenteroaxial with the pylorus commonly rotating anteriorly. Primary gastric volvulus can be associated with congenital asplenia and wandering spleen as both conditions are characterized by absent or loose ligamentous attachments. This case was a mesenteroaxial volvulus with splenopancreatic torsion with a wandering spleen caused by abnormal ligamentous attachments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A high index of suspicion for early diagnosis of gastric volvulus and timely intervention is required to improve treatment outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109338","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T06:58:00Z","timestamp":1706857080000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Gastric volvulus and splenopancreatic torsion with wandering spleen: A case report"],"prefix":"10.1097","volume":"116","author":[{"given":"Enku Shiferaw","family":"Belayneh","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery Resident, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aderajew Walle","family":"Belete","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College, Department of Surgery, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alemneh","family":"Mitku","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College, Department of Surgery, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halid Melkamu","family":"Ahmed","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College, Department of Surgery, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilmneh","family":"Yirdaw","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College, Department of Surgery, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsion","family":"Ketema","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College, Department of Surgery, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"1","key":"R1-27-20260326","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.ijsu.2009.11.002","article-title":"A review article on gastric volvulus: a challenge to diagnosis and management","volume":"8","author":"Rashid,","year":"2010","journal-title":"Int. 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Gastroenterol."},{"key":"R6-27-20260326","first-page":"1","article-title":"Gastric volvulus and wandering spleen: a rare surgical emergency","volume":"2013","author":"Lianos,","year":"2013","journal-title":"Case Rep Surg."},{"key":"R7-27-20260326","first-page":"1","article-title":"Wandering spleen and organoaxial gastric volvulus after Morgagni hernia repair: a case report and review of the literature","volume":"2016","author":"Cantone,","year":"2016","journal-title":"Case Rep Surg."},{"issue":"5","key":"R9-27-20260326","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.clinimag.2010.02.001","article-title":"Radiological features of acute gastric volvulus in adult patients","volume":"34","author":"Al-Balas,","year":"2010","journal-title":"Clin. 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