{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:06:12Z","timestamp":1786118772930,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T00:00:00Z","timestamp":1725580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011613","name":"University of Jaffna","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011613","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction and importance:<\/jats:title>\n The utilization of laparoscopy in severe splenic injuries following blunt abdominal trauma is limited because of difficulties encountered due to ongoing bleeding, chances of missed injury, and lack of experience.<\/jats:p>\n <\/jats:sec>\n \n Case presentation:<\/jats:title>\n We report a young male with polytrauma (head injury, haemothorax, femur fracture, Grade V splenic injury) who underwent a successful laparoscopic splenectomy on day 3 following the failure of conservative management of grade V blunt splenic injury involving the hilum.<\/jats:p>\n <\/jats:sec>\n \n Clinical discussion:<\/jats:title>\n The utility of laparoscopy in the management of blunt trauma is controversial besides several series have shown acceptable outcomes for both solid organ and visceral injuries in experienced hands. Furthermore, there are several reports describing the utility of the laparoscopic approach for isolated splenic injuries in stable patients.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The utility of the laparoscopic approach for this patient was successful without major challenges during the procedure. The key initial step was achieving complete hemostasis as early as possible.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110251","type":"journal-article","created":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T04:37:32Z","timestamp":1725683852000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Emergency laparoscopic splenectomy for a grade-V splenic injury following blunt abdominal trauma: A case report"],"prefix":"10.1097","volume":"124","author":[{"given":"T.","family":"Bhishman","sequence":"first","affiliation":[{"name":"Accident and Orthopaedic Service, National Hospital of Sri Lanka, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Arooran","sequence":"additional","affiliation":[{"name":"Accident and Orthopaedic Service, National Hospital of Sri Lanka, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Umesh","sequence":"additional","affiliation":[{"name":"Accident and Orthopaedic Service, National Hospital of Sri Lanka, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Mayorathan","sequence":"additional","affiliation":[{"name":"Office of the Judicial Medical Officer, Teaching Hospital, Jaffna, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"2","key":"R1-2-20260421","doi-asserted-by":"crossref","DOI":"10.4293\/JSLS.2017.00013","article-title":"Laparoscopic splenectomy in hemodynamically stable blunt trauma","volume":"21","author":"Huang,","year":"2017","journal-title":"J. Soc. Laparoendosc. Surg."},{"key":"R2-2-20260421","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.ijscr.2020.12.077","article-title":"Minimally invasive splenectomy in grade IV splenic trauma: a case report associated with high-grade renal trauma","volume":"79","author":"Pantoja Pachajoa,","year":"2021","journal-title":"Int. J. Surg. Case Rep."},{"issue":"5","key":"R3-2-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"issue":"3","key":"R4-2-20260421","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.amjsurg.2012.10.021","article-title":"The use of laparoscopy in the diagnosis and treatment of blunt and penetrating abdominal injuries: 10-year experience at a level 1 trauma center","volume":"205","author":"Johnson,","year":"2013","journal-title":"Am. J. Surg."},{"issue":"6","key":"R5-2-20260421","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1007\/s00464-009-0768-9","article-title":"Laparoscopic splenectomy for severe blunt trauma: initial experience of ten consecutive cases with a fast hemostatic technique","volume":"24","author":"Carobbi,","year":"2010","journal-title":"Surg. Endosc."},{"issue":"4","key":"R6-2-20260421","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1097\/01.TA.0000057962.07187.56","article-title":"Feasibility of laparoscopic splenectomy in stable blunt trauma: a case series","volume":"57","author":"Nasr,","year":"2004","journal-title":"J. Trauma"},{"issue":"3","key":"R7-2-20260421","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1097\/01.TA.0000136158.93864.54","article-title":"Is a restrictive transfusion strategy safe for resuscitated and critically ill trauma patients?","volume":"57","author":"McIntyre,","year":"2004","journal-title":"J. Trauma"},{"issue":"3","key":"R8-2-20260421","doi-asserted-by":"crossref","first-page":"78","DOI":"10.4103\/0972-9941.58503","article-title":"Laparoscopic splenectomy in a case of blunt abdominal trauma","volume":"5","author":"Agarwal,","year":"2009","journal-title":"J. Minim. Access Surg."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010320?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010320?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2024.110251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T16:56:32Z","timestamp":1786035392000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2024.110251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":8,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110251","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-04-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}