{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T18:57:06Z","timestamp":1785869826743,"version":"3.56.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T00:00:00Z","timestamp":1741651200000},"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":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\u201cWandering spleen\u201d a condition in which the spleen's suspensory ligaments are under developed or slack is characterized mainly by splenic hypermobility and loss of fixation. A variety of clinical presentations of this condition has been described; from an incidental finding in imaging surveys to acute, chronic, or intermittent symptoms due to splenic torsion. For these individuals, there are two possible treatment options: splenectomy or splenopexy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>Here we present a case of a 16 year old female patient presented with acute abdomen and underwent exploratory laparotomy and splenectomy for gangrenous volvulated wandering spleen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Splenic suspensory ligament abnormalities, frequently referred to as a \u201cwandering\u201d spleen, are the cause of predisposition. However, because the patient usually exhibits no symptoms until splenic torsion occurs, diagnosing of a \u201cwandering\u201d spleen is challenging. Diagnosis is mainly using imaging modalities; color doppler study or compute tomography scan which are done usually once the patient is symptomatic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>High index of suspicion and early detection (along with other factors) might allow splenic preservation especially in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111144","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T21:19:38Z","timestamp":1741814378000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Torsion of a wandering spleen, a rare cause of acute abdomen: A case report"],"prefix":"10.1097","volume":"129","author":[{"given":"Halid","family":"Melkamu","sequence":"first","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College, Department of Surgery, Swaziland Street, PO box 1247, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binyam","family":"Yohannes","sequence":"additional","affiliation":[{"name":"Colorectal Surgeon, St. Paul's Hospital Millennium Medical College, Department of Surgery, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dejene","family":"Asefa","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College, Department of Surgery, Swaziland Street, PO box 1247, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aklilu","family":"Debela","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College, Department of Surgery, Swaziland Street, PO box 1247, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feben","family":"Binyam","sequence":"additional","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College, Department of Surgery, Swaziland Street, PO box 1247, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkerim Osman","family":"Ali","sequence":"additional","affiliation":[{"name":"Zewditu Memorial Hospital, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-42-20260423","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.ijscr.2020.12.039","article-title":"Wandering spleen with splenic torsion: Report of two cases","volume":"78","author":"Virani,","year":"2021","journal-title":"Int. J. Surg. Case Rep. [Internet]"},{"key":"R2-42-20260423","first-page":"625","article-title":"Wandering spleen with splenic torsion: unusual cause of acute abdomen","volume":"15","author":"Ahmed,","year":"2022","journal-title":"Int. Med. Case Rep. J. [Internet]"},{"issue":"5","key":"R3-42-20260423","doi-asserted-by":"crossref","first-page":"323","DOI":"10.4103\/jiaps.JIAPS_216_19","article-title":"Torsion of a wandering spleen managed conservatively: rare and interesting","volume":"25","author":"Skiba,","year":"2020","journal-title":"J. Indian Assoc. Pediatr. Surg. [Internet]"},{"key":"R4-42-20260423","first-page":"110092","article-title":"Hidden for years: Torsion and infarction in the wandering spleen of a 45-year-old woman","volume":"122","author":"Suliman,","year":"2024","journal-title":"Int. J. Surg. Case Rep. [Internet]"},{"key":"R5-42-20260423","first-page":"12","article-title":"Wandering spleen combined with pedicle torsion and splenic infarction: a rare case report and literature review","author":"Cui,","year":"2024","journal-title":"Front. Pediatr."},{"issue":"5","key":"R6-42-20260423","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."},{"key":"R7-42-20260423","first-page":"2018","article-title":"Splenic torsion: a rare cause of abdominal pain","author":"Mohseni,","year":"2018","journal-title":"BMJ Case Rep. [Internet]"},{"key":"R8-42-20260423","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2023.108898","article-title":"Splenic torsion, a challenging diagnosis in an adult presenting with acute abdomen","volume":"111","author":"Subunca,","year":"2023","journal-title":"Int. J. Surg. Case Rep."},{"key":"R9-42-20260423","first-page":"109338","article-title":"Gastric volvulus and splenopancreatic torsion with wandering spleen: A case report","volume":"116","author":"Belayneh,","year":"2024","journal-title":"Int. J. Surg. Case Rep. [Internet]"},{"key":"R10-42-20260423","doi-asserted-by":"crossref","first-page":"791932","DOI":"10.3389\/fped.2021.791932","article-title":"Case report: conservative non-operative management of a neonate with torted wandering spleen","volume":"9","author":"Bourusly,","year":"2021","journal-title":"Front. Pediatr. [Internet]"},{"issue":"9","key":"R11-42-20260423","doi-asserted-by":"crossref","first-page":"3377","DOI":"10.1016\/j.radcr.2022.06.073","article-title":"Wandering spleen with torsion and infarction: A case report","volume":"17","author":"Lugo-Fagundo,","year":"2022","journal-title":"Radiol. Case Rep. [Internet]"},{"issue":"5","key":"R12-42-20260423","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1007\/s10140-020-01786-1","article-title":"Torsion of wandering spleen: radiological findings","volume":"27","author":"Parada Bl\u00e1zquez,","year":"2020","journal-title":"Emerg. 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