{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T18:57:03Z","timestamp":1785869823491,"version":"3.56.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,10,29]],"date-time":"2016-10-29T00:00:00Z","timestamp":1477699200000},"content-version":"vor","delay-in-days":302,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Although bowel paralysis accompanying acute appendicitis is well known, mechanical bowel obstruction as a direct consequence of appendicitis remains a rare, but potentially life-threatening, acute abdomen. The aim of our literature review was to find all documented cases of this particular complication and compare them with our own case study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>We searched the PubMed database for relevant articles published from 1963 to 2015. The study included patients for whom direct links between appendicitis and strangulation of the terminal ileum were found, and for which the disease course had been documented in detail. The study also included our own case report since it met the inclusion criteria. A total of 190 articles were examined with a final yield of 17 case reports from 13 articles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>17 patients (11 men and 6 women), with a mean age of 48 \u00b1 23.9 years, met the inclusion criteria. The average period between symptom onset and surgery was 3.4 \u00b1 3.7 days. Symptoms of the disease were consistent with small-bowel obstruction. Treatment included simple appendectomy (n = 7), possibly supplemented by segmental resection (n = 5), followed by ileocecal resection (n = 4), and one case that required a right-sided hemicolectomy (n = 1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>We found mechanical bowel obstruction directly related to appendiceal inflammation to be extremely rare, and relatively few individual cases involving this potentially life-threatening complication have been documented in the literature. Clinical signs of the disease are variable, non-uniform, and consistent with symptoms of small-bowel obstruction during their progression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2016.10.065","type":"journal-article","created":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T06:00:40Z","timestamp":1477980040000},"page":"180-184","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":20,"title":["Appendicitis as a rare cause of mechanical small-bowel obstruction"],"prefix":"10.1097","volume":"29","author":[{"given":"Ond\u0159ej","family":"Mal\u00fd","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji\u0159\u00ed","family":"P\u00e1ral","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-46-20260114","first-page":"261","article-title":"Mechanical small bowel obstruction due to an inflamed appendix wrapping around the last loop of ileum","volume":"26","author":"Assenza","year":"2005","journal-title":"G. Chir"},{"key":"R2-46-20260114","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1007\/s11845-008-0125-3","article-title":"Small bowel obstruction secondary to an appendiceal tourniquet","volume":"178","author":"O\u2019Donnell","year":"2009","journal-title":"Ir. J. Med. Sci"},{"key":"R3-46-20260114","first-page":"1016","article-title":"Appendiceal knotting causing small bowel strangulation","volume":"19","author":"Chatterjee","year":"2014","journal-title":"J. Res. Med. Sci"},{"key":"R4-46-20260114","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/1749-7922-4-34","article-title":"Appendicitis as a cause of intestinal strangulation: a case report and review","volume":"4","author":"Bhandari","year":"2009","journal-title":"World J. Emerg. Surg"},{"key":"R5-46-20260114","first-page":"130","article-title":"2 cases of strangulation of the small intestine in the loop of the vermiform appendix","volume":"39","author":"Naumov","year":"1963","journal-title":"Khirurgiia (Sofiia"},{"key":"R6-46-20260114","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1148\/radiology.205.2.9356638","article-title":"Intestinal ischemia in patients in whom small bowel obstruction is suspected: evaluation of accuracy, limitations, and clinical implications of CT in diagnosis","volume":"205","author":"Balthazar","year":"1997","journal-title":"Radiology"},{"key":"R7-46-20260114","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1007\/s004230000165","article-title":"Acute abdominal pain study group, acute appendicitis in late adulthood: incidence presentation, and outcome. Results of a prospective multicenter acute abdominal pain study and a review of the literature","volume":"385","author":"Kraemer","year":"2000","journal-title":"Langenbeck\u2019s Arch. Surg.\/Dtsch. Ges. Fu\u00fcr Chir"},{"key":"R8-46-20260114","first-page":"400","article-title":"Intestinal obstruction caused by a long appendix ensnaring a loop of ileum","volume":"43","author":"Srinivasan","year":"1964","journal-title":"J. Indian Med. Assoc"},{"key":"R9-46-20260114","first-page":"670","article-title":"Mechanical small bowel obstruction cause by acute appendicitis","volume":"35","author":"Gupta","year":"1969","journal-title":"Am. Surg"},{"key":"R10-46-20260114","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1111\/j.1445-2197.1973.tb05673.x","article-title":"Appendicitis causing acute intestinal obstruction with strangulation","volume":"43","author":"Bose","year":"1973","journal-title":"Aust. N. Z. J. Surg"},{"key":"R11-46-20260114","first-page":"413","article-title":"A case of strangulated intestinal obstruction by the vermiform appendix","volume":"56","author":"Ivoulsou","year":"1996","journal-title":"Med. Trop. (Mars"},{"key":"R12-46-20260114","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1007\/s00247-002-0723-6","article-title":"Appendico-ileal knotting resulting in closed-loop obstruction in a child","volume":"32","author":"Yang","year":"2002","journal-title":"Pediatr. Radiol"},{"key":"R13-46-20260114","doi-asserted-by":"crossref","first-page":"9106","DOI":"10.1186\/1757-1626-2-9106","article-title":"Acute appendicitis presenting as small bowel obstruction: two case reports","volume":"2","author":"Harrison","year":"2009","journal-title":"Cases J"},{"key":"R14-46-20260114","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.ciresp.2011.07.020","article-title":"Appendix constrictor ring: a rare cause of intestinal obstruction","volume":"91","author":"Curado Soriano","year":"2013","journal-title":"Cir. Esp"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261216304631?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261216304631?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201629000-00046","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:47:14Z","timestamp":1768398434000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201629000-00046"}},"subtitle":["A literature review of case reports"],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":14,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2016.10.065","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2016,1]]}}}