{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:40:04Z","timestamp":1751485204808,"version":"3.41.0"},"reference-count":14,"publisher":"International College of Surgeons","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Short gastric vessels are divided during the laparoscopic Nissen fundoplication resulting in splenic infarct in some cases. We report a case of laparoscopic floppy Nissen fundoplication with splenic infarct that was recognized during the procedure and provide a brief literature review. The patient underwent a laparoscopic floppy Nissen fundoplication. We observed a partial infarction of the spleen. She reported no pain. A follow-up computed tomography scan showed an infarct, and a 3-month abdominal ultrasound showed complete resolution. Peripheral splenic arterial branches have very little collateral circulation. When these vessels are occluded or injured, an area of infarction will occur immediately. Management strategies included a trial of conservative management and splenectomy for persistent symptoms or complications resulting from splenic infarct. In conclusion, we believe that the real incidence is probably much higher because many cases of SI may have gone undiagnosed during or following an operation, because some patients are asymptomatic. We propose to check spleen carefully for the possibility of splenic infarct.<\/jats:p>","DOI":"10.9738\/intsurg-d-13-00250.1","type":"journal-article","created":{"date-parts":[[2014,5,15]],"date-time":"2014-05-15T18:05:42Z","timestamp":1400177142000},"page":"291-294","source":"Crossref","is-referenced-by-count":7,"title":["Asymptomatic Partial Splenic Infarction In Laparoscopic Floppy Nissen Fundoplication And Brief Literature Review"],"prefix":"10.9738","volume":"99","author":[{"given":"Mehmet","family":"Odabasi","sequence":"first","affiliation":[{"name":"Department of Surgery, Haydarpasa Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haci Hasan","family":"Abuoglu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Haydarpasa Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cem","family":"Arslan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Haydarpasa Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"Gunay","sequence":"additional","affiliation":[{"name":"Department of Surgery, Haydarpasa Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Kamil","family":"Yildiz","sequence":"additional","affiliation":[{"name":"Department of Surgery, Haydarpasa Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cengiz","family":"Eris","sequence":"additional","affiliation":[{"name":"Department of Surgery, Haydarpasa Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erkan","family":"Ozkan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Haydarpasa Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Aktekin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Haydarpasa Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tolga","family":"Muftuoglu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Haydarpasa Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"3","key":"i0020-8868-99-3-291-b01","series-title":"Surg Laparosc Endosc","first-page":"138","article-title":"Laparoscopic Nissen fundoplication: preliminary report","volume":"1","author":"Dallemagne\n              B,","year":"1991","unstructured":"Dallemagne\n              B, \n            \n              Weerts\n              JM, \n            \n              Jehaes\n              C, \n            \n              Markiewicz\n              S, \n            \n              Lombard\n              R. \n          \n          Laparoscopic Nissen fundoplication: preliminary report. Surg Laparosc Endosc1991;1(3):138\u2013143"},{"issue":"8","key":"i0020-8868-99-3-291-b02","series-title":"Br J Surg","first-page":"1056","article-title":"Systematic review and meta-analysis of laparoscopic Nissen fundoplication with or without division of the short gastric vessels","volume":"98","author":"Markar\n              SR,","year":"2011","unstructured":"Markar\n              SR, \n            \n              Karthikesalingam\n              AP, \n            \n              Wagner\n              OJ, \n            \n              Jackson\n              D, \n            \n              Hewes\n              JC, \n            \n              Vyas\n              S\n            \n            et al\n          . Systematic review and meta-analysis of laparoscopic Nissen fundoplication with or without division of the short gastric vessels. Br J Surg2011;98(8): 1056\u20131062"},{"issue":"8","key":"i0020-8868-99-3-291-b03","series-title":"Br J Surg","first-page":"1063","article-title":"Meta-analysis of two randomized controlled trials to identify long-term symptoms after the division of the short gastric vessels during Nissen fundoplication","volume":"98","author":"Engstr\u00f6m\n              C,","year":"2011","unstructured":"Engstr\u00f6m\n              C, \n            \n              Jamieson\n              GG, \n            \n              Devitt\n              PG, \n            \n              Watson\n              DI. \n          \n          Meta-analysis of two randomized controlled trials to identify long-term symptoms after the division of the short gastric vessels during Nissen fundoplication. 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Surg Laparosc Endosc Percutan Tech2008;18(1):82\u201385"},{"issue":"4","key":"i0020-8868-99-3-291-b08","series-title":"J Laparoendosc Adv Surg Tech A","first-page":"333","article-title":"Partial splenic infarction as complication of laparoscopic floppy Nissen fundoplication","volume":"20","author":"Ipek\n              T,","year":"2010","unstructured":"Ipek\n              T, \n            \n              Eyuboglu\n              E, \n            \n              Ozben\n              V. \n          \n          Partial splenic infarction as complication of laparoscopic floppy Nissen fundoplication. J Laparoendosc Adv Surg Tech A2010;20(4): 333\u2013337"},{"issue":"11","key":"i0020-8868-99-3-291-b09","series-title":"Arch Surg","first-page":"1160","article-title":"International Society for Diseases of the Esophagus\u2014Australasian Section. 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Arch Surg2004;139(11):1160\u20131167"},{"issue":"3","key":"i0020-8868-99-3-291-b10","series-title":"Eur J Pediatr","first-page":"355","article-title":"Vanishing spleen after Nissen fundoplication: A case report","volume":"168","author":"Dijkman\n              KP,","year":"2009","unstructured":"Dijkman\n              KP, \n            \n              van Heurn\n              LW, \n            \n              Leroy\n              PL, \n            \n              Vos\n              GD. \n          \n          Vanishing spleen after Nissen fundoplication: A case report. Eur J Pediatr2009;168(3):355\u2013337"},{"issue":"3","key":"i0020-8868-99-3-291-b11","series-title":"Pediatr Surg Int","first-page":"235","article-title":"Tjon a Ten WE, Van den Neucker A, Verhoeven BH et al. Splenic size after division of the short gastric vessels in Nissen fundoplication in children","volume":"28","author":"Driessen\n              C,","year":"2012","unstructured":"Driessen\n              C, \n            \n              Paulus\n              GF, \n            \n              Robben\n              SG, \n          \n          Tjon a Ten WE, Van den Neucker A, Verhoeven BH et al. Splenic size after division of the short gastric vessels in Nissen fundoplication in children. Pediatr Surg Int2012;28(3):235\u2013238"},{"issue":"2","key":"i0020-8868-99-3-291-b12","series-title":"Am Surg","first-page":"182","article-title":"The clinical spectrum of splenic infarction","volume":"64","author":"Nores\n              M,","year":"1998","unstructured":"Nores\n              M, \n            \n              Phillips\n              EH, \n            \n              Morgenstern\n              L, \n            \n              Hiatt\n              JR. \n          \n          The clinical spectrum of splenic infarction. 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