{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T04:32:40Z","timestamp":1779337960047,"version":"3.51.4"},"reference-count":42,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T00:00:00Z","timestamp":1669161600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Splenic torsion is an unusual condition that results in congenital abnormality, especially in the visceral abnormal arrangement. We report the case of an 8.5-year-old boy with features in the right upper quadrant. Radiological investigations revealed heterotaxy syndrome with polysplenia and a hypodense tumor in the right upper quadrant adjacent to several spleens. We initially treated it as an intra-abdominal tumor. Laparoscopy was performed to check the tumor condition and revealed a congestive tumor located in the abdomen of the right upper quadrant below the central liver, which was suspected to be a torsion spleen without attaching ligaments. Laparoscopic splenectomy was successfully carried out without complications. The pathological report shows splenic tissue with hemorrhagic infarction. Physicians should be vigilant of the differential diagnosis of the acute abdomen in adolescents.<\/jats:p>","DOI":"10.3390\/diagnostics12122920","type":"journal-article","created":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T02:25:36Z","timestamp":1669256736000},"page":"2920","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Splenic Torsion in Heterotaxy Syndrome with Left Isomerism: A Case Report and Literature Review"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4586-4166","authenticated-orcid":false,"given":"I Nok","family":"Cheang","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500-06, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1288-9009","authenticated-orcid":false,"given":"Yu-Wei","family":"Fu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500-06, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tai-Wai","family":"Chin","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500-06, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yao-Jen","family":"Hsu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500-06, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chin-Yen","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Changhua Christian Hospital, Changhua 500-06, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1007\/s00276-017-1893-0","article-title":"Anatomic variations of the spleen: Current state of terminology, classification, and embryological background","volume":"40","author":"Varga","year":"2018","journal-title":"Surg. 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