8 10 201 https://repository.horizon.ac.id/files/original/9c5cbdd876ccc55a0a2b4b02a6a402f9.pdf e9568fbed2ebb72c1b54da6476f0a58f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource S-100B in acute ischemic stroke: a visualization of global hotspots Subject The topic of the resource Acute ischemic stroke, S-100B, Biomarkers, Bibliometric analysis Description An account of the resource Abstract A bibliometric analysis was performed on academic research from 1965 to 2025 with a focus on S-100B protein and acute ischemic stroke (AIS). In total 15,792 academic papers about S-100B protein and AIS were reviewed, showing a sharp incline in publications after 1980. Leading the publications of research and citations were the United States, followed by Japan and Germany, which also had the highest clustered connections as well. The most prevalent organization was the Harvard University. This bibliometric analysis aims to analyze the prognostic value of S-100B protein as a potential biomarker in AIS with global data. Keywords Acute ischemic stroke, S-100B, Biomarkers, Bibliometric analysis Creator An entity primarily responsible for making the resource Samhitha Gurijala1 , Sofia Malik2 and Latha Ganti3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01007-x Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Acute ischemic stroke, S-100B, Biomarkers, Bibliometric analysis https://repository.horizon.ac.id/files/original/c2172bf2499040c4e6131fb4bf207c63.pdf 47c3bd4116b383c6c0296d73cf119740 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Abrupt formation and spontaneous resolution of a mobile right atrial thrombus following intraoperative cardiopulmonary resuscitation during da Vinci robotic-assisted surgery: a case report Subject The topic of the resource Right atrial thrombus is rare yet potentially life-threatening, Description An account of the resource Abstract Right atrial thrombus is rare yet potentially life-threatening, carrying a substantial risk of pulmonary embolism and death. Management generally includes anticoagulation, thrombolysis, surgical thrombectomy, or catheter- based removal, whereas prognosis is poor when the thrombus remains untreated. We describe the intraoperative formation and spontaneous dissolution of a large, mobile right atrial thrombus that ultimately led to a favorable clinical outcome. During da Vinci robotic-assisted surgery, the patient experienced sudden cardiac arrest and was resuscitated with intraoperative cardiopulmonary resuscitation. Trans-esophageal echocardiography revealed a massive, free-floating thrombus in the right atrium, which subsequently resolved without the need for pharmacological or mechanical intervention. Creator An entity primarily responsible for making the resource Yunfeng Jiang1†, Wenqing Ruan1†, Yangyang Xia1†, Chenlong Xie1 , Wei Yuan1 , Jiangang Song1 and Jian Wang1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01006-y Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Right atrial thrombus is rare yet potentially life-threatening, https://repository.horizon.ac.id/files/original/1c981cf1c7dca896f94ad564b967a03e.pdf ea8b35f6333a725a3e7c4b88ea9dc9ef Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Effectiveness of a structured triage system in improving timeliness of emergency care in a resource-limited rural hospital in Uganda Subject The topic of the resource Triage, Emergency medical services, Rural hospitals, Developing countries, Resource-limited settings Description An account of the resource Abstract Background Triage is essential for optimising resource allocation in emergency care, particularly in low- and middle- income countries. Some triage tools, such as the Interagency Integrated Triage Tool (IITT), have been developed specifically for resource-limited settings, but their implementation and evaluation remain challenging due to shortages of staff, limited training opportunities, and infrastructure constraints. This study aimed to evaluate the impact of implementing a structured triage system adapted from the IITT on the identification of urgent/emergency cases and wait times compared with unstructured nursing assessment alone in a rural general hospital in Uganda. Methods A prospective quality improvement study was conducted in the outpatient department (OPD) of Dr Ambrosoli Memorial Hospital in Kalongo, Uganda. Data were collected on all patients attending the OPD for 7 consecutive days before and after IITT implementation. Outcomes included changes in emergency/urgent cases identification, proportion of undertriage/overtriage using hospital admission as the gold standard for assessing triage accuracy, OPD wait times and total OPD length of stay. Multivariable regression was used to adjust for confounders. Results A total of 304 patients in the pre-implementation period and 246 patients in the post-implementation period were included in the analysis. After implementation of the IITT, the proportion of emergency/urgent cases increased from 16.4% to 22.8%, but there was no significant association between IITT implementation and identification of emergency/urgent cases, overtriage and undertriage after adjustment for confounders. IITT implementation was associated with a 23-minute reduction in time to provider (95% CI -35.49 to -12.03, p<0.001) and a 35-minute reduction in total OPD length of stay (95% CI -57.41 to -12.76, p=0.002). Conclusions A structured triage system adapted from the IITT showed similar proportions of overtriage and undertriage compared with unstructured nursing assessment alone, but improved patient flow by significantly reducing wait times and length of stay in the OPD of a resource-limited rural hospital in Uganda. These findings suggest that structured triage can be feasibly implemented without additional resources in similar low-resource hospitals; however, further studies are needed to fully assess the impact of IITT in this and similar settings. Creator An entity primarily responsible for making the resource Lucrezia Rovati1,2* , Samuel Otim3 , Sara Ottolenghi1,2, Maurice Okao3 , Fausto Fazzini2 , Alex Ojera3 , Giovanni Carpani4 , Sandro Di Domenico2 , Laura Ferrari2 , Marco Bettina1,2, Daniele Privitera5 , Nicolò Capsoni1,2, Godfrey Smart Okot3 , Carmen Orlotti3 and Michele Bombelli1,4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01005-z Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Triage, Emergency medical services, Rural hospitals, Developing countries, Resource-limited settings https://repository.horizon.ac.id/files/original/c3fac53bdcd77ae6c6fdd95ae1aa7efb.pdf 487b67158e320f91c3c376b5cb0b420c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Successful management with hemoperfusion and antidotal therapy of severe combined dichlorvos and rodenticide poisoning: a case report Subject The topic of the resource Organophosphate poisoning, Rodenticide poisoning, Super warfarin, Hemoperfusion, Hemofiltration Description An account of the resource Abstract Background This case report presents a rare instance of combined dichlorvos (organophosphate) and brodifacoum (rodenticide) poisoning. By analyzing the clinical presentation and therapeutic course, we aim to provide insights into the challenges and management strategies associated with multi-agent toxic exposures. Case presentation A 73-year-old male with a history of hypertension and depression was admitted after ingesting approximately 150 mL of dichlorvos and 10 mL of brodifacoum. He underwent 18 days of comprehensive treatment, including gastric decontamination with induced emesis and activated charcoal, administration of specific antidotes (a total of 1189 mg atropine, 21.8 g pralidoxime iodide, and 660 mg vitamin K1), and extracorporeal detoxification via hemoperfusion and hemofiltration. Supportive care involved infection control, nutritional supplementation, and monitoring of coagulation and electrolyte status. The patient developed early complications, including hematemesis, epistaxis, and persistent coagulopathy, as well as transient alterations in consciousness and cholinesterase levels below 200 U/L. With prompt and aggressive intervention, his clinical condition gradually stabilized, and he was discharged in good condition. Follow-up revealed coagulopathy, with deep vein thrombosis requiring oral anticoagulation. Conclusion Combined organophosphate and rodenticide poisoning presents a complex toxicological scenario, characterized by overlapping and synergistic effects on the nervous and coagulation systems. Cholinesterase levels below 200 U/L may serve as a critical marker of severity in patients without pre-existing liver disease. Hemoperfusion effectively facilitates toxin clearance, though adjustments to pralidoxime iodide dosing may be warranted during extracorporeal therapy. Following blood purification therapy, no toxin was detected in the patient’s plasma, and long- term coagulation abnormalities associated with super warfarin exposure were not observed in this case. Additionally, Creator An entity primarily responsible for making the resource Huiying Li1†, Xue Li2†, Biao Du1 , Hongzhi Yu3 , Shasha Fu3 , Yu Guo3 , Hongxia Shao4 , Huaiyong Chen2 , Wanjie Yang5* and Longyan Ma1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01004-0 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Organophosphate poisoning, Rodenticide poisoning, Super warfarin, Hemoperfusion, Hemofiltration https://repository.horizon.ac.id/files/original/783da33cc926c3ba802133ba5ba61d9b.pdf ff482c2ea9576441ae77d896e723f5b8 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Exploring the pentraxin-3 as a prognostic biomarker in paraquat poisoning: a systematic-narrative hybrid review Subject The topic of the resource Paraquat, Poisons, Pentraxin 3, PTX3, Prognostic biomarker, Lung fibrosis Description An account of the resource Abstract Purpose Paraquat is a commonly used pesticide that is highly toxic to humans and leads to fatal lung fibrosis upon consumption. Due to its rapid clearance from the bloodstream, there are no reliable biomarkers for the diagnosis and prognosis of paraquat intoxication. Pentraxin 3 (PTX3), an acute-phase inflammatory mediator, has emerged as a potential biomarker, particularly in the context of lung injury and fibrosis. This review aimed to assess the prognostic value of the level of PTX3 in predicting clinical outcomes in patients with paraquat poisoning and to evaluate the correlation between PTX3 levels and the severity of poisoning. Methods A comprehensive literature search was conducted using PubMed, MEDLINE (Ovid), EMBASE (Ovid), Web of Science, Scopus, CROSSREF, and Google Scholar. The included studies were observational (cohort or case-control), involving human subjects with confirmed paraquat poisoning, and reported PTX3 levels related to clinical outcomes. Data on PTX3 expression, disease severity, and prognostic correlations were extracted. Results Two primary studies were performed. PTX3 levels were significantly elevated in non-survivors compared to survivors and were positively correlated with serum paraquat levels and disease severity. PTX3 levels peaked between 12 and 24 h post-ingestion and maintained a prognostic value over subsequent days. A PTX3 cut-off of 8.9 ng/mL was associated with higher mortality, with moderate sensitivity and specificity. Conclusion PTX3 is a promising prognostic biomarker for paraquat poisoning, particularly in cases where traditional markers are unreliable. Due to the limited sample size, a multicenter study is recommended to validate the role of PTX3 in clinical and forensic settings. Keywords Paraquat, Poisons, Pentraxin 3, PTX3, Prognostic biomarker, Lung fibrosis Creator An entity primarily responsible for making the resource Deepu Mathew1 and Ambika Prasad Patra2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01003-1 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Paraquat, Poisons, Pentraxin 3, PTX3, Prognostic biomarker, Lung fibrosis https://repository.horizon.ac.id/files/original/495a239e644da7a85baca59dc8407b64.pdf 9dd7e49ad28f8c038a42c784e55674fd Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Genital burns caused by cell phone combustion following a motorcycle accident: a case report Subject The topic of the resource Cell phone, Genital burns, Deep dermal burn, Full-thickness (third-degree) burn Description An account of the resource Abstract Background Thermal injuries are common in emergency departments, but rarely involve isolated genital burns. However, burns caused by electronic devices, particularly cell phones, represent an emerging concern. Case presentation A 47-year-old man presented with third-degree burns to the left anterior thigh, penis, and scrotum, covering 2% of the total body surface area, accompanied by facial fractures. These injuries had been sustained in a collision. A burned cell phone was discovered in clothing adjacent to the perineum, leading to the suspicion that it had ignited in his trouser pocket, causing burns in addition to trauma from the collision. He underwent surgical debridement and split-thickness skin grafting on hospital day 14. Despite the severity of the injury, the patient achieved complete epithelialization and recovered pre-injury urological and sexual function by the 3-month follow-up. To our knowledge, this represents the first report of deep dermal and full-thickness genital burns caused by cell phone combustion. Conclusions This case highlights the potential for severe thermal injuries from cell phones, possibly exacerbated by trauma, and underscores the importance of patient education regarding the safe handling and storage of cell phones, particularly during activities like cycling or motorcycling. Keywords Cell phone, Genital burns, Deep dermal burn, Full-thickness (third-degree) burn Creator An entity primarily responsible for making the resource Koshi Ota1,3*, Saki Mizutani1 , Akinori Asaka2 , Yuri Yae2 , Kanna Ota3 , Takashi Nuri2 and Akira Takasu1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01002-2 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Cell phone, Genital burns, Deep dermal burn, Full-thickness (third-degree) burn https://repository.horizon.ac.id/files/original/dea9eeb42907f79e5eaaa95d6455db25.pdf 44cdbf6bb62f9277c79a64ff7d9835ae Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource IFEM model framework for the accreditation of training sites for emergency medicine specialists Subject The topic of the resource Emergency medicine, Accreditation framework, Graduate medical education, Clinical training, Accreditation standards Description An account of the resource Abstract The International Federation for Emergency Medicine (IFEM) has developed model curricula for undergraduate education, graduate education and continuing professional development in Emergency Medicine. Graduate education is delivered in various settings, including training sites based in a clinical Emergency Department. In order to ensure the quality of the training that is delivered at these sites, mature training systems have a system that accredits these sites for training purposes. This paper presents a model framework for this accreditation process that may be used by national societies to develop their own process. This paper also includes a comparison of this framework with the accreditation standards of established programs in IFEM member societies. Keywords Emergency medicine, Accreditation framework, Graduate medical education, Clinical training, Accreditation standards Creator An entity primarily responsible for making the resource Andrew Singer1,2*, Simon Chu3 , Anantharaman Venkataraman4 , Nicholas Jouriles5 , Arif Alper Cevik6,7 and James Kwan8,9 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01001-3 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Emergency medicine, Accreditation framework, Graduate medical education, Clinical training, Accreditation standards https://repository.horizon.ac.id/files/original/3436f4b5a73d1cd2b046269f670e0cb0.pdf f38129288cb7d39e62e4401e2518786d Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Strengthening hospital resilience to earthquakes: a public health review of seismic risk reduction programs in the Middle East Subject The topic of the resource Hospitals, Disaster planning, Earthquakes, Emergency preparedness, Risk management, Middle east Description An account of the resource Abstract Introduction Maintaining hospital functionality during and after earthquakes is essential for effective disaster response in seismically active regions. In the Middle East, hospital resilience is challenged by limited infrastructure investment, variable enforcement of safety regulations, and inconsistent preparedness planning. Methods A systematic literature review was conducted across nine databases (2009–2024), including EBSCO, Cochrane, PsycINFO, Scopus, Web of Science, PubMed, Medline, EconLit, and Google Scholar. Studies were included if they assessed hospitals in the Middle East with comprehensive or partial seismic risk reduction programs. Three independent reviewers performed data extraction and quality appraisal using validated tools appropriate to study design. Results Five studies met the inclusion criteria. Hospitals with comprehensive seismic risk reduction programs, including structural retrofitting, disaster drills, surge capacity plans, and emergency communication protocols, demonstrated higher levels of functional continuity following earthquakes. In contrast, facilities lacking such measures reported structural damage, service disruptions, and patient evacuations. Mobile hospitals were identified as a promising adaptive strategy for mitigating overload in high-risk, resource-limited settings. Conclusion Comprehensive seismic preparedness programs enhance hospital functionality in earthquake-prone regions. These findings underscore the importance of integrated risk reduction strategies, cross-sector coordination, and sustained investment. Further research is needed to evaluate the comparative impact of preparedness levels using standardized functionality indicators, and to explore scalable innovations such as mobile and modular healthcare units to strengthen regional disaster resilience. Keywords Hospitals, Disaster planning, Earthquakes, Emergency preparedness, Risk management, Middle east Creator An entity primarily responsible for making the resource Yasir Almukhlifi1,2* , Maher Alsulami1,2, Abdullah Alharbi1,2, Tafe Howsawi1,2, Amal Hussain1,2,3, Reema Alfageeh1,2, Aseel Alzahrani4 , Eatedal Alshareef5 , Amal Salah6 , Rani Radey7 and Mohammed Sultan8 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01000-4 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Hospitals, Disaster planning, Earthquakes, Emergency preparedness, Risk management, Middle east https://repository.horizon.ac.id/files/original/a4525a4dc0d735baf4743ab8404a0c3e.pdf c1a683056ea4a1d35f9d3d4999bcc031 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource A stitch in time saves nine! A case report of spontaneous duodenal perforation in advanced pancreatic cancer Subject The topic of the resource Acute abdomen, Emergency department, Palliative care, Point of care ultrasound (POCUS) Description An account of the resource Acute abdomen is a common presentation in the emergency department, requiring prompt evaluation, diagnosis, and treatment. This case report highlights how simple diagnostic tools can facilitate early detection of abdominal pain caused by duodenal perforation—a rare complication in patients with locally advanced pancreatic cancer. We present a novel case of a 62-year-old male with locally advanced pancreatic cancer who developed acute abdominal pain. The diagnosis of intestinal perforation was made at a Specialist Palliative Care clinic within a tertiary cancer centre. An erect abdominal X-ray revealed free air under the diaphragm, pointing to bowel perforation. The patient underwent emergency surgical exploration, which confirmed a duodenal perforation and was managed with a palliative gastrojejunostomy. While point-of-care ultrasound (POCUS) was not used in this case, we emphasize its potential utility as a bedside tool in the emergency setting for early evaluation of acute abdomen. It can aid in differentiating between conditions such as bowel obstruction, perforation, intussusception, abscesses, or large masses compressing vital structures—many of which may not be visible on a plain abdominal X-ray. This case underscores the importance of early clinical evaluation and the use of accessible diagnostic tools (POCUS) in the timely management of acute abdomen, particularly in complex cancer cases. Keywords Acute abdomen, Emergency department, Palliative care, Point of care ultrasound (POCUS) Creator An entity primarily responsible for making the resource Isha Jatin Shah1 , Raghu Sudarshan Thota1* , Jayita Deodhar1 and Shamali Poojary1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00918-z Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text https://repository.horizon.ac.id/files/original/510f26dc9f2e4b6dd44b58068bc2dcd6.pdf 005368398b367fb2547bd311b1c680b3 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Accessory spleens, mixed hiatal hernia, and incisional hernias: a complex case of multidisciplinary surgical management Subject The topic of the resource Accessory spleen, Hiatal hernia, Incisional hernia, Nissen fundoplication, Splenectomy, Multimorbidity, Case report Description An account of the resource Abstract Background Accessory spleens, arising from incomplete fusion during embryogenesis, are frequent developmental anomalies detected incidentally in abdominal imaging studies. Despite surgical advancements, post-laparotomy incisional hernias persist, while hiatal hernias, common in older adults, often present asymptomatically. Case presentation A 55-year-old male presented with abdominal pain, chronic vomiting, and gastrointestinal bleeding. Evaluation unveiled a mixed hiatal hernia alongside multiple accessory spleens, necessitating surgical intervention. A midline incision facilitated adhesion release, hernia repair, and a 360-degree Nissen fundoplication. Postoperatively, the patient stabilized, discharged with a liquid diet and medications. Histopathological analysis confirmed benign findings, emphasizing successful complex abdominal condition management. Conclusion Comprehensive assessment is vital for patients with intricate gastrointestinal symptoms and surgical histories. Accurate diagnosis and intervention, encompassing accessory spleen excision and hernia repair, resulted in notable clinical enhancement devoid of complications. Keywords Accessory spleen, Hiatal hernia, Incisional hernia, Nissen fundoplication, Splenectomy, Multimorbidity, Case report Creator An entity primarily responsible for making the resource Hamdah Hanifa1 , Mohi Alddin Moustafa Mahouk1 , Fadiah Hazem Albaroudi2 , Enas Saleem Khallouf3 , Dana Abu Nokta1* , Ranim Alrihani1 , Basil Alsaleh4 , Youssef Zeeb5 , Ramez Altair5 , Malek AlBalkhi5 , Rawad Asami5 and Abdullah Shekh Najjaren5 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00917-0 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Accessory spleen, Hiatal hernia, Incisional hernia, Nissen fundoplication, Splenectomy, Multimorbidity, Case report