Evidence map›Paper›PMID 40120328›Full record

ArticleInternational journal of surgery case reports2025

Torsion of a wandering spleen, a rare cause of acute abdomen: A case report.

Halid Melkamu, Binyam Yohannes, Dejene Asefa, Aklilu Debela, Feben Binyam, Abdulkerim Osman Ali

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In one paragraph

Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Halid MelkamuSt. Paul's Hospital Millennium Medical College, Department of Surgery, Swaziland Street, PO box 1247, Addis Ababa, Ethiopia. Electronic address: halid.melkamu@sphmmc.edu.et.
Binyam YohannesColorectal Surgeon, St. Paul's Hospital Millennium Medical College, Department of Surgery, Ethiopia. Electronic address: binyam.yohannes@sphmmc.edu.et.
Dejene AsefaSt. Paul's Hospital Millennium Medical College, Department of Surgery, Swaziland Street, PO box 1247, Addis Ababa, Ethiopia.
Aklilu DebelaSt. Paul's Hospital Millennium Medical College, Department of Surgery, Swaziland Street, PO box 1247, Addis Ababa, Ethiopia.
Feben BinyamSt. Paul's Hospital Millennium Medical College, Department of Surgery, Swaziland Street, PO box 1247, Addis Ababa, Ethiopia.
Abdulkerim Osman AliZewditu Memorial Hospital, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction"Wandering spleen" a condition in which the spleen's suspensory ligaments are under developed or slack is characterized mainly by splenic hypermobility and loss of fixation. A variety of clinical presentations of this condition has been described; from an incidental finding in imaging surveys to acute, chronic, or intermittent symptoms due to splenic torsion. For these individuals, there are two possible treatment options: splenectomy or splenopexy. CASE PRESENTATION: Here we present a case of a 16 year old female patient presented with acute abdomen and underwent exploratory laparotomy and splenectomy for gangrenous volvulated wandering spleen. CLINICAL DISCUSSION: Splenic suspensory ligament abnormalities, frequently referred to as a "wandering" spleen, are the cause of predisposition. However, because the patient usually exhibits no symptoms until splenic torsion occurs, diagnosing of a "wandering" spleen is challenging. Diagnosis is mainly using imaging modalities; color doppler study or compute tomography scan which are done usually once the patient is symptomatic.

conclusionHigh index of suspicion and early detection (along with other factors) might allow splenic preservation especially in children.

Indexed as

Acute abdomenCase reportSplenic torsionWandering spleen

Identifiers

PMID40120328
PMCPMC11981770

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