{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:08:09Z","timestamp":1784819289139,"version":"3.55.0"},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"22","license":[{"start":{"date-parts":[[2024,6,2]],"date-time":"2024-06-02T00:00:00Z","timestamp":1717286400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,6,2]]},"abstract":"<jats:p>A v\u00e1ndorl\u00e9p gyermekkorban ritk\u00e1n el\u0151fordul\u00f3 fejl\u0151d\u00e9si rendelleness\u00e9g, melynek\n                    l\u00e9nyege, hogy a l\u00e9pet a has bal fels\u0151 kvadr\u00e1ns\u00e1ban r\u00f6gz\u00edt\u0151 szalagok vagy laz\u00e1k,\n                    vagy hi\u00e1nyoznak. Ez az anat\u00f3miai k\u00f6rnyezet kedvez a l\u00e9pcsavarod\u00e1snak, mely a\n                    leggyakoribb sz\u00f6v\u0151dm\u00e9ny v\u00e1ndorl\u00e9p eset\u00e9n. Ammenyiben v\u00e1ndorl\u00e9p igazol\u00f3dik,\n                    m\u0171t\u00e9tre van sz\u00fcks\u00e9g. K\u00e9t m\u0171t\u00e9ti strat\u00e9gia k\u00f6z\u00fcl v\u00e1laszthatunk: megtartjuk \u00e9s\n                    fix\u00e1ljuk, vagy egy\u00e9rtelm\u0171 infarktus eset\u00e9n elt\u00e1vol\u00edtjuk a l\u00e9pet. A szerz\u0151k egy\n                    16 \u00e9ves peri\u00f3dust (2004\u20132020) tekintenek \u00e1t, amelynek sor\u00e1n k\u00e9t int\u00e9zetben h\u00e1rom\n                    gyermeket kezeltek l\u00e9pcsavarod\u00e1s miatt. A hasi panaszok kezdet\u00e9t\u0151l 12\u201348 \u00f3r\u00e1n\n                    bel\u00fcl t\u00f6rt\u00e9nt hasi ultrahangvizsg\u00e1lat. A gyermekseb\u00e9szeti vizsg\u00e1latok el\u0151tt a\n                    gyermekek sz\u00e9kreked\u00e9s gyan\u00faja miatt mindh\u00e1rom esetben b\u00e9ltiszt\u00edt\u00f3 kezel\u00e9st\n                    kaptak, mivel az els\u0151 \u00e9szlel\u0151k a v\u00e1ndorl\u00e9pet kitapintva skybal\u00e1nak tartott\u00e1k. A\n                    k\u00e9palkot\u00f3 vizsg\u00e1latok ectopi\u00e1s helyen l\u00e9v\u0151 l\u00e9pet igazoltak, \u00e9s felvetett\u00e9k a\n                    l\u00e9pcsavarod\u00e1s gyan\u00faj\u00e1t. Nyitott m\u0171t\u00e9t sor\u00e1n mindh\u00e1rom esetben l\u00e9pmegtart\u00f3 m\u0171t\u00e9t\n                    t\u00f6rt\u00e9nt. Posztoperat\u00edv sz\u00f6v\u0151dm\u00e9ny nem alakult ki. A megtartott l\u00e9pek\n                    \u00e9letk\u00e9pess\u00e9g\u00e9t illet\u0151en nyomon k\u00f6vet\u00e9ses vizsg\u00e1latok t\u00f6rt\u00e9ntek. Orv Hetil. 2024;\n                    165(22): 866\u2013871.<\/jats:p>","DOI":"10.1556\/650.2024.33054","type":"journal-article","created":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T11:25:45Z","timestamp":1717932345000},"page":"866-871","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["V\u00e1ndorl\u00e9p csavarod\u00e1sa gyermekkorban \u2013 3 eset ismertet\u00e9se"],"prefix":"10.1556","volume":"165","author":[{"given":"Rebeka","family":"R\u00f3naky","sequence":"first","affiliation":[{"name":"Vas V\u00e1rmegyei Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Csecsem\u0151- \u00e9s Gyermekgy\u00f3gy\u00e1szati Oszt\u00e1ly, Gyermekseb\u00e9szeti R\u00e9szleg Szombathely, Markusovszky L. \u00fat 5., 9700 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Farkas","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Gyermekgy\u00f3gy\u00e1szati Klinika, Manu\u00e1lis Tansz\u00e9k, Gyermekseb\u00e9szeti Oszt\u00e1ly P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gy\u00f6rgy","family":"Laz\u00e1ry","sequence":"additional","affiliation":[{"name":"Vas V\u00e1rmegyei Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Csecsem\u0151- \u00e9s Gyermekgy\u00f3gy\u00e1szati Oszt\u00e1ly, Gyermekseb\u00e9szeti R\u00e9szleg Szombathely, Markusovszky L. \u00fat 5., 9700 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e1szl\u00f3","family":"Farkas","sequence":"additional","affiliation":[{"name":"Vas V\u00e1rmegyei Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Csecsem\u0151- \u00e9s Gyermekgy\u00f3gy\u00e1szati Oszt\u00e1ly, Gyermekseb\u00e9szeti R\u00e9szleg Szombathely, Markusovszky L. \u00fat 5., 9700 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Mohay","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Orvosi K\u00e9palkot\u00f3 Klinika, Gyermekradiol\u00f3giai R\u00e9szleg P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"V\u00e1sty\u00e1n","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Gyermekgy\u00f3gy\u00e1szati Klinika, Manu\u00e1lis Tansz\u00e9k, Gyermekseb\u00e9szeti Oszt\u00e1ly P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Magowska A. 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Surg\n                    Radiol Anat. 2018; 40: 21\u201329.","DOI":"10.1007\/s00276-017-1893-0"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Brown CV, Virgilio GR, Vazquez WD. Wandering spleen and its\n                    complications in children: a case series and review of the literature. J Pediatr\n                    Surg. 2003; 38: 1676\u20131679.","DOI":"10.1016\/S0022-3468(03)00582-7"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Anand S, Yadav DK, Sharma S. Acute torsion of a wandering spleen: a\n                    paediatric emergency. BMJ Case Rep. 2018; 2018: bcr2018225496.","DOI":"10.1136\/bcr-2018-225496"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Lombardi R, Menchini L, Corneli T, et al. Wandering spleen in\n                    children: a report of 3 cases and a brief literature review underlining the\n                    importance of diagnostic imaging. Pediatr Radiol. 2014; 44:\n                    279\u2013288.","DOI":"10.1007\/s00247-013-2851-6"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Reisner DC, Burgan CM. Wandering spleen: an overview. Curr Probl\n                    Diagn Radiol. 2018; 47: 68\u201370.","DOI":"10.1067\/j.cpradiol.2017.02.007"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Torri F, Parolini F, Vanzetti E, et al. Urgent laparoscopic mesh\n                    splenopexy for torsion of wandering spleen and distal pancreas: a case report.\n                    Asian J Endosc Surg. 2015; 8: 350\u2013353.","DOI":"10.1111\/ases.12188"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Sinwar PD. Overwhelming post splenectomy infection syndrome. Review\n                    study. Int J Surg. 2014; 12: 1314\u20131316.","DOI":"10.1016\/j.ijsu.2014.11.005"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Stoehr GA, Stauffer UG, Eber SW. Near-total splenectomy. Ann Surg.\n                    2005; 241: 40\u201347.","DOI":"10.1097\/01.sla.0000150070.69769.39"},{"key":"R12","unstructured":"Palanivelu C, Rangarajan M, Senthilkumar R, et al. Laparoscopic mesh\n                    splenopexy (sandwich technique) for wandering spleen. JSLS 2007; 11:\n                    246\u2013251."},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Nomura H, Haji S, Kuroda D, et al. Laparoscopic splenopexy for adult\n                    wandering spleen: sandwich method with two sheets of absorbable knitted mesh.\n                    Surg Laparosc Endosc Percutan Tech. 2000; 10: 332\u2013334.","DOI":"10.1097\/00129689-200010000-00016"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Alqadi GO, Saxena AK. Is laparoscopic approach for wandering spleen\n                    in children an option? J Minim Access Surg. 2019; 15: 93\u201397.","DOI":"10.4103\/jmas.JMAS_14_18"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Hirose R, Kitano S, Bando T, et al. Laparoscopic splenopexy for\n                    pediatric wandering spleen. J Pediatr Surg. 1998; 33:\n                    1571\u20131573.","DOI":"10.1016\/S0022-3468(98)90503-6"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Carr BM, Lyon JA, Romeiser J, et al. Laparoscopic versus open\n                    surgery: a systematic review evaluating Cochrane systematic reviews. Surg\n                    Endosc. 2019; 33: 1693\u20131709.","DOI":"10.1007\/s00464-018-6532-2"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Fadgyas B, Garai GI, Ringwald Z, et al. Laparoscopic appendectomy in\n                    children: evaluation of the learning curve. [Laparoszk\u00f3pos appendectomia\n                    gyermekkorban. A betanul\u00e1si f\u00e1zis \u00e9rt\u00e9kel\u00e9se.] Orv Hetil. 2022; 163: 1001\u20131004.\n                    [Hungarian]","DOI":"10.1556\/650.2022.32485"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Czak\u00f3 L, Gy\u00f6keres T, Hritz I, et al. Cholangitis and cholecystitis:\n                    diagnostic criteria and management. [Epe\u00fat- \u00e9s epeh\u00f3lyag-gyullad\u00e1s:\n                    diagnosztikus krit\u00e9riumok \u00e9s ter\u00e1pia.] Orv Hetil. 2023; 164: 770\u2013787.\n                    [Hungarian]","DOI":"10.1556\/650.2023.32770"},{"key":"R19","unstructured":"Moln\u00e1r K, Nyul Z, Vajda P. Surgical treatment of non-parasitic\n                    splenic cysts. Infection prevention for splenic surgery. [Nem parazit\u00e1s eredet\u0171\n                    l\u00e9pcyst\u00e1k seb\u00e9szi kezel\u00e9se. L\u00e9pm\u0171t\u00e9tek infekci\u00f3prevenci\u00f3ja.] Gyermekgy\u00f3gy\u00e1szat\n                    2017; 68: 50\u201355. 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