Evidence map›Paper›PMID 41049083›Full record

ArticleJournal of surgical case reports2025

Splenic torsion in polysplenia syndrome: a rare cause of acute abdomen in a paediatric patient.

Shaima Osman Mohamed Ali Alaraby, Sara Y Mukhtar, Mohamed Y Ibrahim, Eman Mohamed, Shima Abdalraheem Elnadeef Hussein, Mohamed Osman Mohamed Idres

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shaima Osman Mohamed Ali AlarabyDepartment of Paediatric Surgery, Elmek Nimir University Hospital, Shendi 45512, River Nile State, Sudan.
Sara Y MukhtarDepartment of Paediatric Surgery, Elmek Nimir University Hospital, Shendi 45512, River Nile State, Sudan.ORCID https://orcid.org/0009-0007-9172-757X
Mohamed Y IbrahimPaediatric Surgery Center, National Ribat University Hospital, Burri, Khartoum 11111, Sudan.ORCID https://orcid.org/0000-0002-5707-9106
Eman MohamedDepartment of General Surgery, Elmek Nimir University Hospital, Shendi 45512, River Nile State, Sudan.
Shima Abdalraheem Elnadeef HusseinDepartment of Emergency Medicine, Alhakeem Specialized Hospital, Al-Molazmeen St, Al-Shuhada, Khartoum 14415, Sudan.
Mohamed Osman Mohamed IdresDepartment of Anatomy, Sudan International University, Obaid Khatim Street, Arkawait, Khartoum 11111, Sudan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute abdominal pain in children presents a significant diagnostic challenge due to its broad differential, including rare congenital anomalies. Torsion of an accessory spleen is a rare but important cause, particularly in the context of polysplenia syndrome. We report the case of a 6-year-old boy with polysplenia syndrome who presented with severe abdominal pain, vomiting, and diarrhea. Imaging revealed multiple splenic masses, and exploratory laparotomy identified a torsed accessory spleen with a twisted vascular pedicle. Resection of the infarcted splenule and correction of associated intestinal malrotation were performed. The patient recovered uneventfully and was discharged on the third postoperative day. Splenic torsion in polysplenia syndrome should be considered in the differential diagnosis of acute abdomen in children with congenital anomalies. Prompt imaging and surgical intervention are essential for favourable outcomes, and increased awareness may aid in early diagnosis and management of this rare condition.

Indexed as

accessory spleenheterotaxy syndromepolysplenia syndromesplenic torsion

Identifiers

PMID41049083
PMCPMC12494201

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.