{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:53Z","timestamp":1787755553367,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n The case reported involves a patient who developed an unexplained decrease in hemoglobin after acetabular fracture surgery in the prone position. Repeat abdominal computed tomography was remarkable for a massive subcapsular spleen hematoma secondary to rib fracture impingement, which required splenectomy.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The spleen can be injured by a fracture rib during prone positioning for fixation of an acetabular fracture. Prone surgical positioning may cause iatrogenic intra-abdominal organ injury in patients with displaced lower rib fractures. Lateral positioning should be considered for acetabular surgery in patients with rib fractures.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00004","type":"journal-article","created":{"date-parts":[[2020,10,5]],"date-time":"2020-10-05T15:00:08Z","timestamp":1601910008000},"page":"e20.00004-e20.00004","source":"Crossref","is-referenced-by-count":0,"title":["Acetabular Surgery in the Prone Position Resulting in a Life-Threatening Splenic Injury"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2986-4083","authenticated-orcid":false,"given":"Alper","family":"\u00d6zt\u00fcrk","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, D\u0131\u015fkap\u0131 Y\u0131ld\u0131r\u0131m Beyaz\u0131t Training and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2290-9824","authenticated-orcid":false,"given":"Sinan","family":"Y\u00fcksel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, D\u0131\u015fkap\u0131 Y\u0131ld\u0131r\u0131m Beyaz\u0131t Training and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3712-8203","authenticated-orcid":false,"given":"Arda","family":"Selamo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, D\u0131\u015fkap\u0131 Y\u0131ld\u0131r\u0131m Beyaz\u0131t Training and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4026-6503","authenticated-orcid":false,"given":"Aysun","family":"G\u00f6k\u00e7e","sequence":"additional","affiliation":[{"name":"Department of Pathology, D\u0131\u015fkap\u0131 Y\u0131ld\u0131r\u0131m Beyaz\u0131t Training and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0173-3500","authenticated-orcid":false,"given":"Yenel G\u00fcrkan","family":"Bilgetekin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, D\u0131\u015fkap\u0131 Y\u0131ld\u0131r\u0131m Beyaz\u0131t Training and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"2","key":"bib1-20230719","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1093\/bja\/aem380","article-title":"Anaesthesia in the prone position","volume":"100","author":"Edgcombe","year":"2008","journal-title":"Br J Anaesth."},{"issue":"1","key":"bib2-20230719","first-page":"137","article-title":"Prone or lateral? 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