{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:53:44Z","timestamp":1790294024051,"version":"4.1.0"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Wandering spleen is a rare disorder characterized by splenic displacement into the abdominal or pelvic cavity, predisposing to torsion and infarction. Congenital factors (long pedicle, lax ligaments) or acquired conditions (splenomegaly) are the usual causes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 17-year-old female presented with 5 days of escalating abdominal pain. Imaging (contrast-enhanced CT and ultrasound) revealed a pelvic spleen with 360\u00b0 pedicle torsion and partial infarction. After multidisciplinary review, emergency laparotomy was performed and splenectomy was undertaken. Post-operatively, low-molecular-weight heparin followed by aspirin was prescribed to mitigate post-splenectomy thrombocytosis-related thrombosis. The patient was discharged on day 18 without complications and remained well at follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Early recognition, prompt splenectomy, and individualized anticoagulation guided by hematology input are essential to prevent complications in acute splenic torsion.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2025.1646831","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T05:35:28Z","timestamp":1755149728000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Splenectomy for wandering spleen with pedicle torsion in a 17-year-old: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Guangchao","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifei","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Jiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiujing","family":"Meng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1093\/gastro\/gov034","article-title":"Wandering spleen: a surgical enigma","volume":"5","author":"Puranik","year":"2017","journal-title":"Gastroenterol Rep"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1007\/s00268-012-1880-x","article-title":"Wandering spleen: a medical enigma, its natural history and rationalization","volume":"37","author":"Magowska","year":"2013","journal-title":"World J Surg"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1016\/j.jmig.2013.02.007","article-title":"Pelvic pain in the presence of wandering spleen","volume":"20","author":"King","year":"2013","journal-title":"J Minim Invasive Gynecol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e22063","DOI":"10.1097\/md.0000000000022063","article-title":"Wandering spleen with splenic torsion in a toddler: a case report and literature review","volume":"99","author":"Wang","year":"2020","journal-title":"Medicine"},{"key":"ref5","first-page":"Ra269","article-title":"Congenital anomalies of the spleen from an embryological point of view","volume":"15","author":"Varga","year":"2009","journal-title":"Med Sci Monit"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1016\/j.ijscr.2014.05.010","article-title":"Ectopic spleen: an easily identifiable but commonly undiagnosed entity until manifestation of complications","volume":"5","author":"Blouhos","year":"2014","journal-title":"Int J Surg Case Rep"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1676","DOI":"10.1016\/s0022-3468(03)00582-7","article-title":"Wandering spleen and its complications in children: a case series and review of the literature","volume":"38","author":"Brown","year":"2003","journal-title":"J Pediatr Surg"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1308\/rcsann.2022.0149","article-title":"Gastric outlet obstruction secondary to a wandering spleen: systematic review and surgical management of a case","volume":"105","author":"Moore","year":"2023","journal-title":"Ann R Coll Surg Engl"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1007\/s00261-003-0142-7","article-title":"Wandering spleen with torsion of vascular pedicle: early diagnosis with multiplaner reformation technique of multislice spiral CT","volume":"29","author":"Taori","year":"2004","journal-title":"Abdom Imaging"},{"key":"ref10","article-title":"Bilobate wandering spleen with doble torsion of the vascular pedicle. A case report","volume":"6","author":"Barra","year":"2017","journal-title":"Ann Ital Chir"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1007\/s00595-006-3389-0","article-title":"Surgical treatment of patients with wandering spleen: report of six cases with a review of the literature","volume":"37","author":"Soleimani","year":"2007","journal-title":"Surg Today"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1016\/0022-3468(90)90438-f","article-title":"Elective splenopexy for wandering spleen","volume":"25","author":"Seashore","year":"1990","journal-title":"J Pediatr Surg"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"913","DOI":"10.1046\/j.0007-1323.2001.01800.x","article-title":"Meta-analysis of low molecular weight heparin in the prevention of venous thromboembolism in general surgery","volume":"88","author":"Mismetti","year":"2001","journal-title":"Br J Surg"},{"key":"ref14","first-page":"537","article-title":"Blood coagulation changes in patients with post-splenectomy persistent thrombocytosis","volume":"53","author":"Canonico","year":"2001","journal-title":"Chir Ital"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1016\/s1499-3872(13)60081-8","article-title":"Risk factors and clinical characteristics of portal vein thrombosis after splenectomy in patients with liver cirrhosis","volume":"12","author":"Li","year":"2013","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"212","DOI":"10.7861\/clinmedicine.17-3-212","article-title":"Portal vein thrombosis\u2014a primer for the general physician","volume":"17","author":"Haris","year":"2017","journal-title":"Clin Med"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1646831\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T05:35:29Z","timestamp":1755149729000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1646831\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,14]]},"references-count":16,"alternative-id":["10.3389\/fmed.2025.1646831"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1646831","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,14]]},"article-number":"1646831"}}