{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:54:58Z","timestamp":1778201698298,"version":"3.51.4"},"reference-count":74,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Sci Law"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>The spleen is located in the left upper quadrant of the abdominal cavity and has both immunological and haematological functions. A variety of quite different entities may be associated with sudden death due to splenic involvement. These range from simple traumatic disruption of the parenchyma of a normal spleen with marked intra-abdominal haemorrhage, to conditions such as malaria and infectious mononucleosis where splenomegaly predisposes to rupture. Haematological diseases such as malignancies and haemoglobinopathies may causes sudden death due to haemorrhage or red cell sequestration. Asplenia or polysplenia may be associated with significant congenital heart disease. Hyposplenia, both structural and functional, may also result in rapid demise from sometimes unusual bacterial infections. Vascular abnormalities causing death include entities such as splenic artery aneurysms. Thus, deaths from splenic pathology may be due to localised issues or may be part of more generalised disease. For this reason the autopsy in cases of splenic-associated deaths must be comprehensive and include special testing such as microbiological screening and\/or haematologic\/genetic evaluation.<\/jats:p>","DOI":"10.1177\/00258024231191828","type":"journal-article","created":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T01:49:21Z","timestamp":1691113761000},"page":"316-323","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Unexpected death involving the spleen \u2013 an overview"],"prefix":"10.1177","volume":"63","author":[{"given":"Alice","family":"Dalrymple","sequence":"first","affiliation":[{"name":"Flinders University, Bedford Park Adelaide, South Australia"},{"name":"Forensic Science SA, Adelaide, South Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luzern","family":"Tan","sequence":"additional","affiliation":[{"name":"Adelaide School of Medicine, The University of Adelaide, Adelaide, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0524-5942","authenticated-orcid":false,"given":"Roger W","family":"Byard","sequence":"additional","affiliation":[{"name":"Forensic Science SA, Adelaide, South Australia"},{"name":"Adelaide School of Medicine, The University of Adelaide, Adelaide, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,3]]},"reference":[{"key":"bibr1-00258024231191828","unstructured":"Moore KL, Dalley AF, Agur AMR. Clinically oriented anatomy. 7th ed. Philadelphia: Wolters Kluwer, 2014, p1134."},{"key":"bibr2-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1093\/bjaed\/mkw072"},{"key":"bibr3-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2009.11.011"},{"key":"bibr4-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(61)90686-9"},{"key":"bibr5-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1201\/9781003138754-42"},{"key":"bibr6-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1186\/1471-227X-12-11"},{"key":"bibr7-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1159\/000452695"},{"key":"bibr8-00258024231191828","first-page":"157","volume":"11","author":"Leff D","year":"2007","journal-title":"JSLS-J Soc Laparoend"},{"key":"bibr9-00258024231191828","first-page":"209","volume":"110","author":"Laiz-Diez B","year":"2018","journal-title":"Resp Esp Enferm Dig"},{"key":"bibr10-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9572(02)00102-8"},{"key":"bibr11-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e318219c878"},{"key":"bibr12-00258024231191828","first-page":"91","volume":"5","author":"Sowers N","year":"2019","journal-title":"J Med Case Rep"},{"key":"bibr13-00258024231191828","first-page":"1","volume":"106","author":"Orloff MJ","year":"1958","journal-title":"Int Abstr Surg"},{"key":"bibr14-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511777783.011"},{"key":"bibr15-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2002.35440"},{"key":"bibr16-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1520\/JFS15225J"},{"key":"bibr17-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usaa239"},{"key":"bibr18-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1186\/cc713"},{"key":"bibr19-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1186\/s12936-018-2228-2"},{"key":"bibr20-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1186\/s12936-018-2600-2"},{"key":"bibr21-00258024231191828","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.889382"},{"key":"bibr22-00258024231191828","first-page":"121","volume":"39","author":"Watters DA","year":"1996","journal-title":"PNG Med J"},{"key":"bibr23-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.10.071"},{"key":"bibr24-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1002\/rmv.2029"},{"key":"bibr25-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-022-03353-8"},{"key":"bibr26-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinpr.2020.100042"},{"key":"bibr27-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(85)80052-0"},{"key":"bibr28-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1007\/s10156-013-0613-x"},{"key":"bibr29-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e3181dfc98b"},{"key":"bibr30-00258024231191828","first-page":"e01355","volume":"26","author":"Gafumbegete E","year":"2021","journal-title":"ID Cases"},{"key":"bibr31-00258024231191828","first-page":"001891","volume":"7","author":"Wolthuis DF","year":"2020","journal-title":"Eur J Case Rep Intern Med"},{"key":"bibr32-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2020.12.081"},{"key":"bibr33-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199110000-00011"},{"key":"bibr34-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.01.2009.1460"},{"key":"bibr35-00258024231191828","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2014.3521"},{"key":"bibr36-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1111\/j.1556-4029.2009.01065.x"},{"key":"bibr37-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2018.08.004"},{"key":"bibr38-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1177\/002580249103100212"},{"key":"bibr39-00258024231191828","doi-asserted-by":"publisher","DOI":"10.5402\/2011\/864257"},{"key":"bibr40-00258024231191828","doi-asserted-by":"publisher","DOI":"10.5858\/2006-130-1231-FSRIAP"},{"key":"bibr41-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-197307000-00014"},{"key":"bibr42-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2020.10.004"},{"key":"bibr43-00258024231191828","doi-asserted-by":"publisher","DOI":"10.12788\/jcso.0263"},{"key":"bibr44-00258024231191828","doi-asserted-by":"publisher","DOI":"10.5507\/bp.2013.086"},{"key":"bibr45-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(196410)17:10<1356::AID-CNCR2820171018>3.0.CO;2-2"},{"key":"bibr46-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1159\/000084679"},{"key":"bibr47-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2022.107315"},{"key":"bibr48-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1007\/s00277-021-04469-0"},{"key":"bibr49-00258024231191828","first-page":"2429098","volume":"2019","author":"Williams J","year":"2019","journal-title":"Case Rep Hematol"},{"key":"bibr50-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.clml.2013.05.010"},{"key":"bibr51-00258024231191828","doi-asserted-by":"publisher","DOI":"10.4081\/cp.2019.1146"},{"key":"bibr52-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(20000115)88:2<480::AID-CNCR31>3.0.CO;2-I"},{"key":"bibr53-00258024231191828","doi-asserted-by":"publisher","DOI":"10.3892\/mco.2016.1120"},{"key":"bibr54-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.10317"},{"key":"bibr55-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.legalmed.2020.101785"},{"key":"bibr56-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1177\/0300060518819372"},{"key":"bibr57-00258024231191828","doi-asserted-by":"publisher","DOI":"10.2460\/javma.247.4.393"},{"key":"bibr58-00258024231191828","first-page":"1","volume":"2017","author":"Smith R","year":"2017","journal-title":"BMJ Case Rep"},{"key":"bibr59-00258024231191828","first-page":"337","volume":"40","author":"Samberkar PN","year":"2018","journal-title":"Malay J Pathol"},{"key":"bibr60-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1097\/00000433-200212000-00007"},{"key":"bibr61-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/S1499-3872(12)60170-2"},{"key":"bibr62-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1177\/0885066612444257"},{"key":"bibr63-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1097\/00000433-200209000-00016"},{"key":"bibr64-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2021.102134"},{"key":"bibr65-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0000000000000596"},{"key":"bibr66-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2004.05.010"},{"key":"bibr67-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.61.713.259"},{"key":"bibr68-00258024231191828","first-page":"68","volume":"12","author":"Ting JY","year":"2006","journal-title":"Hong Kong Med J"},{"key":"bibr69-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1542\/peds.65.3.633"},{"key":"bibr70-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1097\/00000433-198806000-00003"},{"key":"bibr71-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1136\/adc.66.5.636"},{"key":"bibr72-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1007\/s10024-004-7082-2"},{"key":"bibr73-00258024231191828","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199608000-00027"},{"key":"bibr74-00258024231191828","first-page":"242","volume":"35","author":"Rathore R","year":"2019","journal-title":"Turk Patoloji Derg"}],"container-title":["Medicine, Science and the Law"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258024231191828","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00258024231191828","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258024231191828","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:38:28Z","timestamp":1777624708000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00258024231191828"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,3]]},"references-count":74,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/00258024231191828"],"URL":"https:\/\/doi.org\/10.1177\/00258024231191828","relation":{},"ISSN":["0025-8024","2042-1818"],"issn-type":[{"value":"0025-8024","type":"print"},{"value":"2042-1818","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,3]]}}}