{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T15:32:02Z","timestamp":1768577522911,"version":"3.49.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,7,7]],"date-time":"2017-07-07T00:00:00Z","timestamp":1499385600000},"content-version":"vor","delay-in-days":187,"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":[[2017,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Meckel\u2019s diverticulum (MD) commonly presents as gastrointestinal bleeding in the pediatric population and intestinal obstruction in adults. There is no consensus for surgical excision of an incidentally diagnosed MD. We present a hitherto unreported vascular cause of intestinal gangrene due to MD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CASE PRESENTATION:<\/jats:title>\n                    <jats:p>A 16 year old boy was referred as an acute abdomen for tertiary hospital management. Clinical examination and CT suggested small bowel obstruction and emergency laparotomy was performed. A giant MD compressing the root of mesentery, causing critical occlusion of the ileal vessels and extensive ileal gangrene was found. The gangrenous bowel was resected and a jejuno-ascending colon anastamosis was done. Postoperative recovery was uneventful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>This case report highlights an unrecognized complication of a giant Meckel\u2019s diverticulum. There are no clear guidelines on the management of an incidentally discovered MD though certain studies recommend resection of an incidental MD in males and individuals less than 50 years of age or when the MD is larger than 2 cm or contains histologically abnormal tissue. Other meta-analyses do not recommend routine resection. MD has been identified as a high risk region for ileal malignancy and its resection usually has minimal morbidity. A valid consent for opportunistic resection of a Meckel\u2019s diverticulum in any laparotomy would be discerning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Appropriate opportunistic resection of an incidental Meckel\u2019s diverticulum may prevent extensive surgical morbidity later. This case highlights the need to revisit guidelines for management of incidentally identified MD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2017.06.063","type":"journal-article","created":{"date-parts":[[2017,7,15]],"date-time":"2017-07-15T01:01:00Z","timestamp":1500080460000},"page":"53-56","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Giant Meckel\u2019s diverticulum compressing root of mesentery \u2013 A rare cause of ileal gangrene \u2013 Case report and review of literature"],"prefix":"10.1097","volume":"38","author":[{"given":"Mohammed","family":"Farooq","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aashish","family":"Rajesh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-13-20260114","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/1319-3767.58760","article-title":"Meckel\u2019s diverticulum\u2014revisited","volume":"16","author":"Malik","year":"2010","journal-title":"Saudi J. Gastroenterol"},{"key":"R3-13-20260114","first-page":"56","article-title":"A fifty-year experience with Meckel\u2019s diverticulum","volume":"156","author":"Mackey","year":"1983","journal-title":"Surg. Gynecol. Obstet"},{"key":"R4-13-20260114","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1097\/00000658-199410000-00014","article-title":"Surgical management of Meckel\u2019s diverticulum. An epidemiologic, population-based study","volume":"220","author":"Cullen","year":"1994","journal-title":"Ann. Surg"},{"key":"R5-13-20260114","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1016\/0022-3468(91)90601-O","article-title":"Meckel\u2019s diverticulum in children: a 20-year review","volume":"26","author":"St-Vil","year":"1991","journal-title":"J. Pedatr. Surg"},{"key":"R6-13-20260114","doi-asserted-by":"crossref","first-page":"3246","DOI":"10.1111\/j.1572-0241.2001.05344.x","article-title":"Meckel\u2019s diverticulum causing intestinal obstruction","volume":"96","author":"Prall","year":"2001","journal-title":"Am. J. Gastroenterol"},{"key":"R8-13-20260114","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1097\/SLA.0b013e31815aaaf8","article-title":"Incidentally detected Meckel diverticulum: to resect or not to resect?","volume":"247","author":"Zani","year":"2008","journal-title":"Ann. Surg"},{"key":"R9-13-20260114","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1097\/01.sla.0000154270.14308.5f","article-title":"Meckel diverticulum: the Mayo clinic experience with 1476 patients (1950\u20132002)","volume":"241","author":"Park","year":"2005","journal-title":"Ann. Surg"},{"key":"R10-13-20260114","first-page":"39","article-title":"Is incidental Meckel\u2019s diverticulum resected safely?","volume":"121","author":"Zulfikaroglu","year":"2008","journal-title":"N. Z. Med. J"},{"key":"R11-13-20260114","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1097\/SLA.0b013e3181ef488d","article-title":"Meckel\u2019s diverticulum: a high-risk region for malignancy in the ileum","volume":"253","author":"Thirunavukarasu","year":"2011","journal-title":"Ann. Surg"},{"key":"R12-13-20260114","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1111\/j.1445-1433.2004.03191.x","article-title":"Diverticulectomy is inadequate treatment for short Meckel\u2019s diverticulum with heterotopic mucosa","volume":"74","author":"Varcoe","year":"2004","journal-title":"ANZ J. 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