{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:52:00Z","timestamp":1761745920409,"version":"build-2065373602"},"reference-count":15,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,10,13]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>Partial hepatic volvulus, also described as wandering liver, hepatoptosis or hepatic vagrancy, is a rare condition that has been reported in adult, paediatric and neonatal populations. The variant is characterised by hepatic mobility due to laxity in the hepatic suspensory attachments. This laxity can lead to displacement of the liver into the left abdomen, resulting in clinical symptoms and complications.<\/jats:p>\n                  <jats:p>We report a unique presentation of partial hepatic volvulus resulting in torsion and obstruction of the bile duct. Torsion of the porta hepatis introduces a novel and clinically important aspect of the diagnosis and management of acute biliary obstruction.<\/jats:p>\n                  <jats:p>The patient was initially managed with attempted biliary endoscopic decompression, which failed, and ultimately underwent surgical intervention with restoration of conventional hepatic positioning through plication and hepatopexy of the suspensory ligaments of the liver. This case highlights the patient\u2019s presentation, diagnosis and operative management of hepatic volvulus and acute biliary obstruction.<\/jats:p>","DOI":"10.1136\/bcr-2025-268321","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T10:15:25Z","timestamp":1761732925000},"page":"e268321","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Partial hepatic volvulus and acute biliary obstruction"],"prefix":"10.1136","volume":"18","author":[{"given":"Braden","family":"Allred","sequence":"first","affiliation":[{"name":"Surgery, UNC Rex Healthcare, Raleigh, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"LeCompte","sequence":"additional","affiliation":[{"name":"Surgery, UNC Rex Healthcare, Raleigh, North Carolina, USA"},{"name":"Surgery, UNC Health, Chapel Hill, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"2025102903101714000_18.10.e268321.1","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1007\/s11605-016-3277-x","article-title":"Abdominal Pain due to a Wandering Liver","volume":"21","author":"Bruneau","year":"2017","journal-title":"J Gastrointest Surg"},{"key":"2025102903101714000_18.10.e268321.2","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2021.0459"},{"key":"2025102903101714000_18.10.e268321.3","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1007\/s00247-010-1586-x","article-title":"A wandering liver","volume":"40","author":"Nichols","year":"2010","journal-title":"Pediatr Radiol"},{"key":"2025102903101714000_18.10.e268321.4","doi-asserted-by":"crossref","DOI":"10.1186\/s40792-016-0205-y","article-title":"Wandering liver and intestinal malrotation: first report","volume":"2","author":"Ordonez","year":"2016","journal-title":"Surg Case Rep"},{"key":"2025102903101714000_18.10.e268321.5","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1111\/j.1445-2197.1990.tb07392.x","article-title":"Hepatocolonic vagrancy: wandering liver with colonic abnormalities","volume":"60","author":"Siddins","year":"1990","journal-title":"Aust N Z J Surg"},{"key":"2025102903101714000_18.10.e268321.6","doi-asserted-by":"crossref","DOI":"10.1007\/s002470050129","article-title":"A \u201cwandering liver\u201d in an infant","volume":"27","author":"al-Ali","year":"1997","journal-title":"Pediatr Radiol"},{"key":"2025102903101714000_18.10.e268321.7","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2023.108053","article-title":"Transverse colon volvulus and the wandering liver","volume":"105","author":"Morice","year":"2023","journal-title":"Int J Surg Case Rep"},{"key":"2025102903101714000_18.10.e268321.8","doi-asserted-by":"crossref","unstructured":"P\u00e9rez-S\u00e1nchez LE , S\u00e1nchez-Gonz\u00e1lez JM , Chocarro-Huesa C . \u201cWandering Liver\u201d Associated to Bowel Obstruction. Clin Gastroenterol Hepatol 2019;17. doi:10.1016\/j.cgh.2017.12.050","DOI":"10.1016\/j.cgh.2017.12.050"},{"key":"2025102903101714000_18.10.e268321.9","first-page":"217","article-title":"Transverse colon volvulus in a young patient with wandering liver","volume":"116","author":"Garc\u00eda Gimeno","year":"2024","journal-title":"Rev Esp Enferm Dig"},{"key":"2025102903101714000_18.10.e268321.10","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.gastrohep.2021.02.004","article-title":"Wandering liver as a cause of intestinal obstruction","volume":"45","author":"Forneiro P\u00e9rez","year":"2022","journal-title":"Gastroenterol Hepatol"},{"key":"2025102903101714000_18.10.e268321.11","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-229452","article-title":"Wandering liver: an unusual cause of recurrent gastric outlet obstruction","volume":"12","author":"Beh","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025102903101714000_18.10.e268321.12","article-title":"Wandering Liver: A Case Report With Clinical and Radiological Insights","volume":"16","author":"Herrera Ortiz","year":"2024","journal-title":"Cureus"},{"key":"2025102903101714000_18.10.e268321.13","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1016\/j.jpedsurg.2009.12.017","article-title":"\u201cWandering liver\u201d in a neonate: case report and review of the literature","volume":"45","author":"Svensson","year":"2010","journal-title":"J Pediatr Surg"},{"key":"2025102903101714000_18.10.e268321.14","doi-asserted-by":"crossref","first-page":"1854","DOI":"10.1007\/s00261-022-03789-7","article-title":"Wandering liver, spleen, and kidney: what the radiologist needs to know","volume":"48","author":"Caruso","year":"2023","journal-title":"Abdom Radiol (NY)"},{"key":"2025102903101714000_18.10.e268321.15","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1080\/00015458.2016.1272252","article-title":"A wandering folded liver displaced by the distended bowel: a new case report with review of the literature","volume":"117","author":"Rabie","year":"2017","journal-title":"Acta Chir Belg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268321","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T10:15:28Z","timestamp":1761732928000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":15,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10,29]]},"published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1136\/bcr-2025-268321"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268321","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}