{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T03:35:14Z","timestamp":1771472114674,"version":"3.50.1"},"reference-count":33,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,19]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>Wandering spleen (WS) is a hypermobile spleen that, due to the laxity of its ligaments, is prone to torsion. We report a case of a 45-year-old multiparous woman who presented with acute abdominal pain and a tender palpable mass. A contrast-enhanced computed tomography scan of the abdomen showed a WS with torsion. She underwent an emergency splenectomy and was discharged after an uneventful recovery. She was readmitted with splanchnic venous thrombosis and was managed with therapeutic low-molecular-weight heparin (LMWH) and discharged. Twenty days later, she presented with new-onset abdominal pain. She had not complied with LMWH as advised. The thrombosis had progressed, leading to small bowel gangrene, requiring resection and a stoma. Due to frequent metabolic disturbances, an early reversal of stoma was performed. She was lost to follow-up thereafter. This case highlights a rare indication for emergency splenectomy and one of its major postoperative complications.<\/jats:p>","DOI":"10.1136\/bcr-2020-238647","type":"journal-article","created":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T18:47:49Z","timestamp":1612464469000},"page":"e238647","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["\u2018Wandering spleen with acute torsion\u2019 : a rare indication for splenectomy in an adult, complicated by postoperative splanchnic venous thrombosis and intestinal gangrene"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1027-0859","authenticated-orcid":false,"given":"Geet","family":"Midha","sequence":"first","affiliation":[{"name":"General Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4836-9432","authenticated-orcid":false,"given":"Suraj","family":"Surendran","sequence":"additional","affiliation":[{"name":"General and Upper Gastrointestinal Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myla","family":"Yacob","sequence":"additional","affiliation":[{"name":"General and Upper Gastrointestinal Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inian","family":"Samarasam","sequence":"additional","affiliation":[{"name":"General and Upper Gastrointestinal Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,2,4]]},"reference":[{"key":"2025082803115731000_14.2.e238647.1","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1007\/s00268-012-1880-x","article-title":"Wandering spleen: a medical enigma, its natural history and rationalization","volume":"37","author":"Magowska","year":"2013","journal-title":"World J Surg"},{"key":"2025082803115731000_14.2.e238647.2","doi-asserted-by":"crossref","first-page":"rjz378","DOI":"10.1093\/jscr\/rjz378","article-title":"Acute abdomen due to an infarction of wandering spleen: case report","volume":"2020","author":"Assaf","year":"2020","journal-title":"J Surg Case Rep"},{"key":"2025082803115731000_14.2.e238647.3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.3941\/jrcr.v8i10.1969","article-title":"Dynamic MRI in the diagnosis and post surgical evaluation of wandering spleen","volume":"8","author":"Clark","year":"2014","journal-title":"J Radiol Case Rep"},{"key":"2025082803115731000_14.2.e238647.4","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.ijscr.2018.02.032","article-title":"Splenic torsion, a challenging diagnosis: case report and review of literature","volume":"44","author":"Viana","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2025082803115731000_14.2.e238647.5","first-page":"246","article-title":"Laparoscopic mesh splenopexy (sandwich technique) for wandering spleen","volume":"11","author":"Palanivelu","year":"2007","journal-title":"JSLS"},{"key":"2025082803115731000_14.2.e238647.6","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.amsu.2019.12.001","article-title":"Torsion of wandering spleen involving the pancreatic tail","volume":"50","author":"Colombo","year":"2020","journal-title":"Ann Med Surg"},{"key":"2025082803115731000_14.2.e238647.7","doi-asserted-by":"crossref","unstructured":"Shakoor A , DeFazio J , Zenilman A . 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