{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:34:42Z","timestamp":1786649682501,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Situs inversus totalis<\/jats:italic>\n (SIT) is a rare congenital abnormality, characterised by mirror imaging of visceral organs. Polysplenia is a subset of this, where multiple splenules are present. Splenic infarcts, in such conditions, can cause diagnostic uncertainty and significant surgical challenge. We report a case of a 35-year-old male with SIT and polysplenia who presented with right upper abdominal pain, fever and vomiting. Imaging showed multiple splenules in the right hypochondrium, with a peripheral splenic infarction. Laparoscopic splenectomy was done with modified port placement to accommodate the reversed anatomy. Laparoscopic splenectomy in patients with SIT and polysplenia is technically challenging due to altered anatomy and the need for a reversed surgical approach. Although technically demanding, it can offer better visualisation over an open approach. To the best of our knowledge, this is the first reported case of laparoscopic management for splenic infarction in polysplenia with SIT. The laparoscopic approach, though quite challenging, can be made feasible in such cases with effective planning but only under the expertise who can adapt to intra-operative challenges.\n <\/jats:p>","DOI":"10.4103\/jmas.jmas_559_25","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:00:07Z","timestamp":1777384807000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic management of splenic infarct in polysplenia with situs inversus \u2013 Case report and review literature"],"prefix":"10.4103","author":[{"given":"Gutha","family":"Raajitha","sequence":"first","affiliation":[{"name":"Department of Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katikela Sai Tejaswi","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tehniyath","family":"Mariyam","sequence":"additional","affiliation":[{"name":"Department of Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir Ranjan","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"R1-20260428","doi-asserted-by":"crossref","first-page":"2437","DOI":"10.2147\/IJGM.S295444","article-title":"Situs inversus totalis:A clinical review","volume":"15","author":"Eitler","year":"2022","journal-title":"Int J Gen Med"},{"key":"R2-20260428","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1148\/radiographics.19.4.g99jl31837","article-title":"Situs revisited:imaging of the heterotaxy syndrome","volume":"19","author":"Applegate","year":"1999","journal-title":"Radiographics"},{"key":"R3-20260428","first-page":"433","article-title":"Polysplenia:A morphological consideration","volume":"7","author":"Helwig","year":"1929","journal-title":"Arch Pathol"},{"key":"R4-20260428","doi-asserted-by":"crossref","first-page":"1586","DOI":"10.1016\/j.radcr.2024.12.037","article-title":"Polysplenia syndrome associated with multisystem malformation:A rare case report","volume":"20","author":"Yang","year":"2025","journal-title":"Radiol Case Rep"},{"key":"R5-20260428","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1002\/bjs.1800791230","article-title":"Laparoscopic splenectomy","volume":"79","author":"Delaitre","year":"1992","journal-title":"Br J Surg"},{"key":"R6-20260428","first-page":"473","article-title":"Laparoscopic splenectomy:Outcomes and lessons learned from over 200 cases","volume":"14","author":"Park","year":"2000","journal-title":"Surg Endosc"},{"key":"R7-20260428","first-page":"e58770","article-title":"Adaptability in the midst of anatomical challenges: A case of situs inversus totalis in laparoscopic cholecystectomy","volume":"16","author":"Nguyen","year":"2024","journal-title":"Cureus"},{"key":"R8-20260428","first-page":"e43820","article-title":"Robotic-assisted splenectomy by a modified lateral approach:Technique and outcomes","volume":"15","author":"Biju","year":"2023","journal-title":"Cureus"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_559_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:56:59Z","timestamp":1786647419000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_559_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,24]]},"references-count":8,"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_559_25","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,24]]},"assertion":[{"value":"2025-12-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}