{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T19:01:56Z","timestamp":1793732516870,"version":"4.6.1"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T00:00:00Z","timestamp":1625529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T00:00:00Z","timestamp":1625529600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The accessory spleen has no anatomical or vascular relationship with the normal spleen, The tissue structure and physiological function of the accessory spleen are the same as those of the normal spleen, which usually locate in the splenic hilum and the tail of the pancreas. The aims of this manuscript are to present a rare case of the gastric accessory spleen and a review of the literature.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 19-year-old male patient was sent to the emergency department with stomach bleeding after drinking alcohol. The computed tomographic scan showed a 1.2\u00a0cm \u00d7 1.7\u00a0cm mass at the lesser curvature of the gastric fundus. Gastrointestinal endoscopy displayed a submucosal elevated lesion on the gastric fundus, and gastrectomy was performed. Postoperative pathological examination proved an accessory spleen in the stomach. The postoperative course was uneventful, and the patient was discharged on the 6th day after the surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The accessory spleen at the fundus of stomach is extremely rare, especially in this case, which is accompanied by acute gastric bleeding, and it is difficult to diagnosis before operation. Many literatures reported that it was misdiagnosis as tumor, so it is necessary to diagnose accessory spleen correctly.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12876-021-01852-z","type":"journal-article","created":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T10:05:06Z","timestamp":1625565906000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["An extremely rare case of a gastric accessory spleen: case report and review of the literature"],"prefix":"10.1186","volume":"21","author":[{"given":"Guiqin","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Nie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tijiang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,7,6]]},"reference":[{"key":"1852_CR1","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1186\/s12893-019-0510-z","volume":"19","author":"V Palumbo","year":"2019","unstructured":"Palumbo V, Mannino M, Teodoro M, Menconi G, Schembari E, Corsale G, et al. An extremely rare case of an oversized accessory spleen: case report and review of the literature. BMC Surg. 2019;19:45.","journal-title":"BMC Surg"},{"key":"1852_CR2","doi-asserted-by":"crossref","first-page":"030006051987589","DOI":"10.1177\/0300060519875898","volume":"48","author":"Y Li","year":"2020","unstructured":"Li Y, Qiu X, Li W, Guo H, Li X. Diagnostic challenge for giant left retroperitoneal accessory spleen: a case report. J Int Med Res. 2020;48:0300060519875898.","journal-title":"J Int Med Res"},{"key":"1852_CR3","doi-asserted-by":"publisher","first-page":"e15-8","DOI":"10.1016\/j.jpedsurg.2009.06.029","volume":"44","author":"P Impellizzeri","year":"2009","unstructured":"Impellizzeri P, Montalto AS, Borruto FA, Antonuccio P, Scalfari G, Arena F, et al. Accessory spleen torsion: rare cause of acute abdomen in children and review of literature. 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