{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:11:46Z","timestamp":1774444306824,"version":"3.50.1"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T00:00:00Z","timestamp":1735948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Accessory spleens are a common anatomical variant, consisting of ectopic splenic tissue present in different locations in the peritoneal cavity. Typically asymptomatic, the presence of these tissue grows to be of clinical importance when complicated by infarction, rupture, or torsion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>We report the case of a 36-year-old female that presented to the Emergency Department for diffuse abdominal pain and was found to have a partially ruptured splenule secondary to a venous infarct on abdominal computed tomography scan. The patient was admitted to the hospital for pain management and further workup. Her hospital stay was uncomplicated with complete resolution of symptoms after 5 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The usually asymptomatic accessory spleen can present in case of infarction with vague symptoms like abdominal pain, nausea, or vomiting. It is triggered by conditions such hematologic disorders, embolic disorders, vascular disorders, and trauma. Oral contraceptive pills increase thrombosis risk by affecting coagulation factors, making them a potential cause of infarction. Diagnosis typically involves CT imaging, and treatment ranges from supportive care to surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Accessory spleen infarction, although rare, is a diagnosis that should be considered in the assessment of a patient presenting to the emergency with acute abdominal pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.110852","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T02:43:38Z","timestamp":1736131418000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Accessory splenic infarction presenting as acute abdominal pain: A case report"],"prefix":"10.1097","volume":"127","author":[{"given":"Dana","family":"Awad","sequence":"first","affiliation":[{"name":"Emergency Medicine Department, Lebanese American University Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle Abou","family":"Khater","sequence":"additional","affiliation":[{"name":"Emergency Medicine Department, Lebanese American University Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Habchy","sequence":"additional","affiliation":[{"name":"General Surgery Department, Lebanese American University Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"Helou","sequence":"additional","affiliation":[{"name":"Emergency Medicine Department, Lebanese American University Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"19","key":"R1-42-20260325","first-page":"1111","article-title":"Incidence and location of accessory spleens","volume":"304","author":"Wadham,","year":"1981","journal-title":"N. Engl. J. Med."},{"issue":"6","key":"R2-42-20260325","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.2214\/ajr.183.6.01831653","article-title":"CT features of the accessory spleen","volume":"183","author":"Mortele,","year":"2004","journal-title":"Am. J. Roentgenol."},{"key":"R4-42-20260325","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/321810","article-title":"Splenic anomalies of shape, size, and location: pictorial essay","volume":"2013","author":"Yildiz,","year":"2013","journal-title":"Sci. World J."},{"key":"R5-42-20260325","first-page":"RA269","article-title":"Congenital anomalies of the spleen from an embryological point of view","volume":"15","author":"Varga,","year":"2009","journal-title":"Med. Sci. Monit."},{"key":"R6-42-20260325","first-page":"652","article-title":"Accessory spleens in or at the tail of the pancreas: a survey of 2,700 additional necropsies","volume":"77","author":"Halpert,","year":"1964","journal-title":"Arch. 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Radiol."},{"key":"R10-42-20260325","article-title":"Splenic infarct, practice essentials, anatomy, pathophysiology","author":"Parikh,","year":"2024","journal-title":"Medscape"},{"issue":"3","key":"R11-42-20260325","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/j.ajem.2008.02.014","article-title":"Splenic infarction: 10 years of experience","volume":"27","author":"Antopolsky,","year":"2009","journal-title":"Am. J. Emerg. Med."},{"key":"R12-42-20260325","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.b2921","article-title":"The venous thrombotic risk of oral contraceptives, effects of oestrogen dose and progestogen type: results of the MEGA case-control study","volume":"339","author":"van Hylckama Vlieg,","year":"2009","journal-title":"BMJ"},{"issue":"1","key":"R13-42-20260325","first-page":"4","article-title":"Effects on coagulation of levonorgestrel- and desogestrel-containing low-dose oral contraceptives: a cross-over study","volume":"84","author":"Middeldorp,","year":"2000","journal-title":"Thromb. Haemost."},{"key":"R14-42-20260325","doi-asserted-by":"crossref","first-page":"16","DOI":"10.7812\/TPP\/16-071","article-title":"Image diagnosis: splenic infarction associated with oral contraceptive pills in a healthy young woman","volume":"21","author":"Abdallah,","year":"2017","journal-title":"Perm. J."},{"issue":"4","key":"R15-42-20260325","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/s003830050318","article-title":"Coeliac axis thrombosis associated with the combined oral contraceptive pill: a rare cause of an acute abdomen","volume":"13","author":"Arul,","year":"1998","journal-title":"Pediatr. Surg. Int."},{"issue":"2","key":"R16-42-20260325","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1002\/ajh.21059","article-title":"Smoking increases the risk of venous thrombosis and acts synergistically with oral contraceptive use","volume":"83","author":"Pomp,","year":"2008","journal-title":"Am. J. Hematol."},{"issue":"3","key":"R17-42-20260325","doi-asserted-by":"crossref","first-page":"2026","DOI":"10.2478\/V10133-010-0054-Y","article-title":"Impact of oral contraceptives and smoking on arterial and deep venous thrombosis: a retrospective case-control study","volume":"24","author":"Tzankova,","year":"2010","journal-title":"Biotechnol. Biotechnol. 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