{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:30:42Z","timestamp":1786649442658,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Ectopic spleens are rare and most commonly occur congenitally, but also after trauma or pregnancy. They may be asymptomatic or cause pain due to pressure or torsion of the vascular pedicle. They may even extend into the small pelvis. We report on a 30-year-old patient with lower abdominal pain and the desire to have children. The spleen was located in front of the uterus in the lower abdomen. In case of pregnancy, the growing uterus could cause vascular torsion with recurrent pain, or complications could occur during a caesarean section. Thus, the indication for surgery was made in cooperation between surgeons, gynecologists and the patient. We preferred the laparoscopic splenectomy as the simplest operation rather than the splenopexy. The operation and post-operative course were uneventful, so she was able to be discharged on the 4\n                    <jats:sup>th<\/jats:sup>\n                    post-operative day. Ultimately, the decision of treatment modality remains individually.\n                  <\/jats:p>","DOI":"10.4103\/jmas.jmas_531_25","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T08:00:26Z","timestamp":1776067226000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Unusual case of an ectopic pre-uterine spleen"],"prefix":"10.4103","author":[{"given":"Guido","family":"Schumacher","sequence":"first","affiliation":[{"name":"Department of General Surgery, Brixen Hospital, Brixen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Gebert","sequence":"additional","affiliation":[{"name":"Department of Radiology, Brixen Hospital, Brixen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simona","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Brixen Hospital, Brixen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Prader","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Brixen Hospital, Brixen, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"R1-20260413","doi-asserted-by":"crossref","first-page":"2254","DOI":"10.1007\/s00261-022-03520-6","article-title":"Ectopic lesions in the abdomen and pelvis:A multimodality pictorial review","volume":"47","author":"Kim","year":"2022","journal-title":"Abdom Radiol (NY)"},{"key":"R2-20260413","doi-asserted-by":"crossref","first-page":"129","DOI":"10.5812\/atr.9332","article-title":"Wandering spleen in an adult man associated with the horseshoe kidney","volume":"2","author":"Memari","year":"2013","journal-title":"Arch Trauma Res"},{"key":"R3-20260413","doi-asserted-by":"crossref","first-page":"3377","DOI":"10.1016\/j.radcr.2022.06.073","article-title":"Wandering spleen with torsion and infarction:A case report","volume":"17","author":"Lugo-Fagundo","year":"2022","journal-title":"Radiol Case Rep"},{"key":"R4-20260413","first-page":"321810","article-title":"Splenic anomalies of shape, size, and location:Pictorial essay","author":"Yildiz","year":"2013","journal-title":"ScientificWorldJournal 2013"},{"key":"R5-20260413","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1001\/archsurg.1976.01360230103022","article-title":"Ectopic pelvic spleen","volume":"111","author":"Hatfield","year":"1976","journal-title":"Arch Surg"},{"key":"R6-20260413","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1007\/s00404-025-08009-3","article-title":"About the management of patients with wandering spleen in pregnancy and postpartum","volume":"312","author":"Daniela","year":"2025","journal-title":"Arch Gynecol Obstet"},{"key":"R7-20260413","doi-asserted-by":"crossref","first-page":"6213","DOI":"10.1016\/j.radcr.2024.08.146","article-title":"Computed tomography features and surgical treatment of wandering spleen torsion:A case report","volume":"19","author":"Hamidi","year":"2024","journal-title":"Radiol Case Rep"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_531_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:54:13Z","timestamp":1786647253000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_531_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":7,"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_531_25","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]},"assertion":[{"value":"2025-12-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-04","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}