{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:48Z","timestamp":1756425768918,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,10]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Splenic torsion is a rare phenomenon characterised by a twisting of the spleen along its vascular pedicle, typically in the setting of lax suspensory ligaments. It is more commonly encountered in the paediatric population; however, it also has been documented in the adult population. Management is not well described due to its rarity. We illustrate a case of a paraplegic male in his 50s who presented with progressive abdominal pain and was found to have splenic torsion with suspected infarction on imaging. This was managed successfully with splenectomy.<\/jats:p>","DOI":"10.1136\/bcr-2024-263013","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T20:31:36Z","timestamp":1733344296000},"page":"e263013","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Splenic torsion in a patient with paraplegia: considerations for evaluation and management"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2495-8291","authenticated-orcid":false,"given":"Brittney","family":"Calatayud","sequence":"first","affiliation":[{"name":"Graduate Medical Education, Penn State Health, Hershey, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3975-3897","authenticated-orcid":false,"given":"Amanda B","family":"Cooper","sequence":"additional","affiliation":[{"name":"Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Noty","sequence":"additional","affiliation":[{"name":"General Surgery, Penn State Health, Hershey, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,4]]},"reference":[{"key":"2025082800253573000_17.12.e263013.1","unstructured":"Armitage JO . Spleen. In: Walter HK , Hall WD , Hurst JW , eds. Clinical Methods: The History, Physical, and Laboratory Examinations. 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