{"id":"https://openalex.org/W2899243154","doi":"https://doi.org/10.1016/j.ijscr.2018.10.075","title":"A case report of a rare and challenging gangrenous splenic flexure volvulus in a pregnant patient","display_name":"A case report of a rare and challenging gangrenous splenic flexure volvulus in a pregnant patient","publication_year":2018,"publication_date":"2018-01-01","ids":{"openalex":"https://openalex.org/W2899243154","doi":"https://doi.org/10.1016/j.ijscr.2018.10.075","mag":"2899243154","pmid":"https://pubmed.ncbi.nlm.nih.gov/30408739","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6222078"},"language":"en","primary_location":{"id":"doi:10.1016/j.ijscr.2018.10.075","doi":"https://doi.org/10.1016/j.ijscr.2018.10.075","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijscr.2018.10.075","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.ijscr.2018.10.075","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010355159","display_name":"Alison Bullen","orcid":"https://orcid.org/0000-0002-5094-470X","observed_orcids":["https://orcid.org/0000-0002-5094-470X"]},"institutions":[{"id":"https://openalex.org/I165143802","display_name":"The University of Queensland","ror":"https://ror.org/00rqy9422","country_code":"AU","type":"education","lineage":["https://openalex.org/I165143802"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Alison Bullen","raw_affiliation_strings":["University of Queensland, Brisbane, QLD, Australia. Electronic address: a.m.bullen@uqconnect.edu.au","University of Queensland, Brisbane, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Queensland, Brisbane, QLD, Australia. Electronic address: a.m.bullen@uqconnect.edu.au","institution_ids":["https://openalex.org/I165143802"]},{"raw_affiliation_string":"University of Queensland, Brisbane, QLD, Australia","institution_ids":["https://openalex.org/I165143802"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035888821","display_name":"Joel Lewin","orcid":"https://orcid.org/0000-0002-5782-2262","observed_orcids":["https://orcid.org/0000-0002-5782-2262"]},"institutions":[{"id":"https://openalex.org/I165143802","display_name":"The University of Queensland","ror":"https://ror.org/00rqy9422","country_code":"AU","type":"education","lineage":["https://openalex.org/I165143802"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Joel Lewin","raw_affiliation_strings":["University of Queensland, Brisbane, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Queensland, Brisbane, QLD, Australia","institution_ids":["https://openalex.org/I165143802"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006320633","display_name":"Trent Cross","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800926667","display_name":"Cairns Hospital","ror":"https://ror.org/029s9j634","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2800926667","https://openalex.org/I2801244131"]},{"id":"https://openalex.org/I86467917","display_name":"James Cook University","ror":"https://ror.org/04gsp2c11","country_code":"AU","type":"education","lineage":["https://openalex.org/I86467917"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Trent Cross","raw_affiliation_strings":["James Cook University, Cairns Base Hospital, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"James Cook University, Cairns Base Hospital, QLD, Australia","institution_ids":["https://openalex.org/I2800926667","https://openalex.org/I86467917"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5034725274","display_name":"Benjamin Woolven","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800926667","display_name":"Cairns Hospital","ror":"https://ror.org/029s9j634","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2800926667","https://openalex.org/I2801244131"]},{"id":"https://openalex.org/I86467917","display_name":"James Cook University","ror":"https://ror.org/04gsp2c11","country_code":"AU","type":"education","lineage":["https://openalex.org/I86467917"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Benjamin Woolven","raw_affiliation_strings":["James Cook University, Cairns Base Hospital, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"James Cook University, Cairns Base Hospital, QLD, Australia","institution_ids":["https://openalex.org/I2800926667","https://openalex.org/I86467917"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5010355159"],"corresponding_institution_ids":["https://openalex.org/I165143802"],"apc_list":{"value":2090,"currency":"USD","value_usd":2090},"apc_paid":{"value":2090,"currency":"USD","value_usd":2090},"fwci":0.5141,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.63523175,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"53","issue":null,"first_page":"171","last_page":"174"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12150","display_name":"Intestinal Malrotation and Obstruction Disorders","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12150","display_name":"Intestinal Malrotation and Obstruction Disorders","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12089","display_name":"Intestinal and Peritoneal Adhesions","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11855","display_name":"Gastrointestinal disorders and treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/colonic-obstruction","display_name":"colonic obstruction","score":0.8399999737739563},{"id":"https://openalex.org/keywords/pregnancy","display_name":"pregnancy","score":0.7649999856948853},{"id":"https://openalex.org/keywords/intestinal-obstruction","display_name":"intestinal obstruction","score":0.7239999771118164},{"id":"https://openalex.org/keywords/mri-diagnosis","display_name":"MRI diagnosis","score":0.722000002861023},{"id":"https://openalex.org/keywords/end-colostomy","display_name":"end colostomy","score":0.9549999833106995},{"id":"https://openalex.org/keywords/young-adult-women","display_name":"young adult women","score":0.36500000953674316}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9517781734466553},{"id":"https://openalex.org/C3019760618","wikidata":"https://www.wikidata.org/wiki/Q5144815","display_name":"Splenic flexure","level":5,"score":0.8963640928268433},{"id":"https://openalex.org/C2778324709","wikidata":"https://www.wikidata.org/wiki/Q388388","display_name":"Volvulus","level":2,"score":0.7158589363098145},{"id":"https://openalex.org/C2779787475","wikidata":"https://www.wikidata.org/wiki/Q16244733","display_name":"Bowel obstruction","level":2,"score":0.6620086431503296},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5967168211936951},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5923234820365906},{"id":"https://openalex.org/C2777492451","wikidata":"https://www.wikidata.org/wiki/Q7646211","display_name":"Surgical emergency","level":2,"score":0.5476391315460205},{"id":"https://openalex.org/C2778766689","wikidata":"https://www.wikidata.org/wiki/Q595453","display_name":"Colostomy","level":2,"score":0.4677465260028839},{"id":"https://openalex.org/C2778435480","wikidata":"https://www.wikidata.org/wiki/Q840387","display_name":"Colonoscopy","level":4,"score":0.26586467027664185},{"id":"https://openalex.org/C526805850","wikidata":"https://www.wikidata.org/wiki/Q188874","display_name":"Colorectal cancer","level":3,"score":0.17669838666915894},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0997832715511322},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.ijscr.2018.10.075","doi":"https://doi.org/10.1016/j.ijscr.2018.10.075","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijscr.2018.10.075","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6222078","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6222078/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6222078/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Surg Case Rep","raw_type":"Text"},{"id":"pmh:oai:europepmc.org:5236595","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6222078","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmid:30408739","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30408739","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of surgery case reports","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.ijscr.2018.10.075","doi":"https://doi.org/10.1016/j.ijscr.2018.10.075","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijscr.2018.10.075","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2899243154.pdf","grobid_xml":"https://content.openalex.org/works/W2899243154.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W250982631","https://openalex.org/W1983579625","https://openalex.org/W1990157923","https://openalex.org/W2001469303","https://openalex.org/W2043764683","https://openalex.org/W2045207136","https://openalex.org/W2058111892","https://openalex.org/W2060655988","https://openalex.org/W2064655290","https://openalex.org/W2139345320","https://openalex.org/W2416515069","https://openalex.org/W2513329101","https://openalex.org/W2589706703"],"related_works":["https://openalex.org/W3166416816","https://openalex.org/W4398208284","https://openalex.org/W3023947517","https://openalex.org/W3017234197","https://openalex.org/W2407225767","https://openalex.org/W2127791417","https://openalex.org/W3005350886","https://openalex.org/W4398785241","https://openalex.org/W4407166107","https://openalex.org/W4367833935"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Splenic":[1,94,145],"flexure":[2,63,95,146,169],"volvulus":[3,35,96,147,170],"is":[4,12,97,148],"a":[5,27,31,37,61,98,111,139,149,156,162],"rare":[6,53,99,150],"cause":[7,100],"of":[8,30,81,101,119,132,155,174],"intestinal":[9],"obstruction":[10,165],"and":[11,48,70,78,105,176],"uncommonly":[13],"encountered":[14],"in":[15,36,110,113,116],"young":[16,157],"patients":[17],"from":[18],"developed":[19],"countries.":[20],"PRESENTATION":[21],"OF":[22],"CASE:":[23],"This":[24,152],"report":[25,154],"details":[26],"challenging":[28],"case":[29,153],"gangrenous":[32],"large":[33,102,163],"bowel":[34,103,164],"25":[38],"year":[39],"old":[40],"woman":[41,159],"20":[42],"weeks":[43],"pregnant,":[44],"highlighting":[45],"the":[46,117,124,172],"diagnostic":[47],"operative":[49],"challenges":[50],"that":[51],"this":[52,122,179],"clinical":[54],"situation":[55],"presents.":[56],"After":[57],"urgent":[58],"MRI":[59],"confirming":[60],"splenic":[62,168],"volvulus,":[64],"an":[65],"emergency":[66],"open":[67],"left":[68],"hemicolectomy":[69],"end":[71],"colostomy":[72],"was":[73,88,126],"performed.":[74],"Following":[75],"uneventful":[76],"recovery":[77],"successful":[79],"delivery":[80],"her":[82,133],"baby":[83],"at":[84],"full":[85],"term,":[86],"she":[87,136],"reversed":[89],"6":[90],"months":[91],"later.":[92],"DISCUSSION:":[93],"obstruction,":[104],"as":[106],"such":[107],"can":[108],"result":[109],"delay":[112],"diagnosis,":[114],"particularly":[115],"setting":[118],"pregnancy.":[120],"In":[121],"case,":[123],"patient":[125],"not":[127],"diagnosed":[128],"until":[129],"day":[130],"3":[131],"admission":[134],"when":[135],"decompensated":[137],"with":[138,161],"rising":[140],"white":[141],"cell":[142],"count.":[143],"CONCLUSION:":[144],"occurrence.":[151],"pregnant":[158],"presenting":[160],"due":[166],"to":[167],"highlights":[171],"importance":[173],"considering":[175],"investigating":[177],"for":[178],"diagnosis.":[180]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2021,"cited_by_count":2}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2018-11-09T00:00:00"}