{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:08:18Z","timestamp":1753877298006,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T00:00:00Z","timestamp":1708646400000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The phenomenon of a wandering spleen is rare with few published case reports. The cases published in the literature mainly result from acquired or congenital laxity of the spleen\u2019s anchoring ligaments. Our case demonstrates an uncommon complication and possibly the first reported case of an iatrogenic wandering spleen. We present an interesting case of a 51-year-old female patient with congenital adrenal hyperplasia, fibromyalgia, and rheumatoid arthritis who underwent robotic-assisted left adrenalectomy for a 10-cm adrenal mass. Postoperatively, she developed uncontrolled pain and gastric distension due to spleen entrapment, leading to an open laparotomy and splenectomy with gastric perforation repair. She made an uneventful recovery. The rarity of iatrogenic wandering spleen as well as our patient\u2019s complex medical history, including chronic steroid use, presented unique challenges in postoperative management. This case highlights the importance of thorough perioperative evaluation and careful surgical planning in patients with underlying conditions.<\/jats:p>","DOI":"10.1093\/jscr\/rjae088","type":"journal-article","created":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T07:32:12Z","timestamp":1708673532000},"source":"Crossref","is-referenced-by-count":0,"title":["Iatrogenic wandering spleen causing gastric outlet obstruction and perforation"],"prefix":"10.1093","volume":"2024","author":[{"given":"K R","family":"Lieb","sequence":"first","affiliation":[{"name":"School of Medicine, SUNY Upstate Medical University , Syracuse, NY 13210 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Beaulieu","sequence":"additional","affiliation":[{"name":"Department of Surgery, SUNY Upstate Medical University , Syracuse, NY 13210 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Dhir","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology , Department of Surgery, , Syracuse, NY 13210 , United States"},{"name":"SUNY Upstate Medical University , Department of Surgery, , Syracuse, NY 13210 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,2,22]]},"reference":[{"key":"2024022307320068400_ref1","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1308\/rcsann.2022.0149","article-title":"Gastric outlet obstruction secondary to a wandering spleen: systematic review and surgical management of a case","volume":"105","author":"Moore","year":"2023","journal-title":"Ann R Coll Surg Engl"},{"key":"2024022307320068400_ref2","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ijscr.2019.07.021","article-title":"Emergency laparoscopic splenectomy for torsion of wandering spleen in a geriatric patient: a case report","volume":"61","author":"Nastiti","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2024022307320068400_ref3","doi-asserted-by":"crossref","first-page":"W328","DOI":"10.2214\/AJR.05.0672","article-title":"Wandering spleen: an unusual association with gastric volvulus","volume":"188","author":"Liu","year":"2007","journal-title":"AJR Am J Roentgenol"},{"key":"2024022307320068400_ref4","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/S0022-3468(82)80492-2","article-title":"Torsion of the wandering spleen: splenectomy or splenopexy","volume":"17","author":"Stringel","year":"1982","journal-title":"J Pediatr Surg"},{"key":"2024022307320068400_ref5","doi-asserted-by":"crossref","first-page":"e05051","DOI":"10.1002\/ccr3.5051","article-title":"Wandering spleen with splenic arteriovenous torsion","volume":"9","author":"Hashiguchi","year":"2021","journal-title":"Clin Case Rep"},{"key":"2024022307320068400_ref6","doi-asserted-by":"crossref","first-page":"774","DOI":"10.4254\/wjh.v13.i7.774","article-title":"Torsion of spleen and portal hypertension: pathophysiology and clinical implications","volume":"13","author":"Jha","year":"2021","journal-title":"World J Hepatol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/2\/rjae088\/56742007\/rjae088.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/2\/rjae088\/56742007\/rjae088.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T07:32:17Z","timestamp":1708673537000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae088\/7612648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae088","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,2]]},"published":{"date-parts":[[2024,2]]},"article-number":"rjae088"}}