{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:08:09Z","timestamp":1753862889032,"version":"3.41.2"},"reference-count":55,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T00:00:00Z","timestamp":1722211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Perforation of Meckel's diverticulum (MD) is rare, particularly by foreign body. High index of suspicion and thorough intraoperative assessment is needed in patients undergoing surgery for acute appendicitis, specifically when appendix appears normal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. While often asymptomatic, it can present with several complications. Perforation due to foreign body ingestion is rare but can have severe consequences if late diagnosis occurs. A 13\u2010year\u2010old male, initially suspected of acute appendicitis, was eventually diagnosed with perforation of MD by a wood splinter\u2010like foreign body after intraoperative assessment. Histological analysis revealed ectopic colonic tissue within the MD, a finding whose implications are not well understood, in contrast with the well\u2010established complications associated with ectopic gastric and pancreatic tissues. This case highlights the diagnostic challenges of MD, which can mimic acute appendicitis, emphasizing the need for high suspicion when faced with atypical clinical presentation such as foreign body\u2010induced perforation. Although surgical resection of asymptomatic MD remains controversial, we recommend a case\u2010specific approach based on risk factors to guide decision\u2010making on surgical resection for asymptomatic MD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.9183","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T04:40:02Z","timestamp":1722314402000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perforation of Meckel's diverticulum by an unusual foreign body: A case report and a review of literature"],"prefix":"10.1002","volume":"12","author":[{"given":"Sara Elizabeth","family":"Milla\u00a0Salguero","sequence":"first","affiliation":[{"name":"Faculty of Medicine Universidad Cat\u00f3lica de Honduras  San Pedro Sula Honduras"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrique Adalberto","family":"Medina","sequence":"additional","affiliation":[{"name":"Department of 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