{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:05:33Z","timestamp":1793196333557,"version":"4.5.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"vor","delay-in-days":0,"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":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Meckel's diverticulum (MD) is an unusual clinical condition that occurs in approximately 2-4 %. The complications are more common in children, with a low prevalence in adults, with the main complication in adults being intestinal obstruction followed by diverticulitis with or without perforation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We present a 30-year-old female patient with a history of an appendectomy. She attends the emergency room due to a four-day history of pain in the lower abdominal quadrants, tachycardia, and leukocytosis, with an abdominal CT scan identifying an inflammatory process of the ileum, suggesting a Meckel's diverticulum, urachus remnant, or foreign body.<\/jats:p>\n                    <jats:p>The patient was taken to surgery, and inflammatory adhesions, including a perforated Meckel's diverticulum with necrotic signs and purulent production, were evidenced. Intestinal resection and ileal anastomosis were performed with no complications at 90 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Preoperative diagnosis is difficult in cases with associated inflammatory conditions and is generally made incidentally during surgery and less frequently with CT scans.<\/jats:p>\n                    <jats:p>Surgical management for patients with MD is still controversial and depends on many factors, including symptoms, related complications, characteristics of the diverticulum, and the patient's clinical condition. Currently, no standardized surgical technique exists, and cases should be individualized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Meckel's diverticulum perforation is a rare complication in the adult population and remains a diagnostic and surgical challenge, and the final decision must be individualized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110272","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T12:55:57Z","timestamp":1725972957000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Perforated Meckel's diverticulum in an adult: Case report and literature review"],"prefix":"10.1097","volume":"124","author":[{"given":"Carlos Eduardo","family":"Rey Chaves","sequence":"first","affiliation":[{"name":"Estudiante de posgrado Cirug\u00eda General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Serna","sequence":"additional","affiliation":[{"name":"Estudiante de posgrado Cirug\u00eda General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Romero-Guerra","sequence":"additional","affiliation":[{"name":"Estudiante de pregrado, Medicina General, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"G\u00f3mez Garnica","sequence":"additional","affiliation":[{"name":"Cirug\u00eda General, Pontificia Universidad Javeriana, Facultad de Medicina, Hospital Universitario San Ignacio, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"4","key":"R1-4-20260421","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.jviscsurg.2017.06.006","article-title":"Meckel's diverticulum in the adult","volume":"154","author":"Lequet,","year":"2017","journal-title":"J. Visc. Surg."},{"issue":"2022","key":"R2-4-20260421","first-page":"6912043","article-title":"Emergency presentations of Meckel's diverticulum in adults","volume":"25","author":"Mohammed,","year":"2022","journal-title":"Surg Res Pract."},{"issue":"10","key":"R3-4-20260421","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/014107680609901011","article-title":"Meckel's diverticulum: a systematic review","volume":"99","author":"Sagar,","year":"2006","journal-title":"J. R. Soc. Med."},{"issue":"3","key":"R4-4-20260421","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 (1950-2002)","volume":"241","author":"Park,","year":"2005","journal-title":"Ann. Surg."},{"issue":"5","key":"R5-4-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"issue":"5","key":"R6-4-20260421","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1016\/S1072-7515(01)00817-1","article-title":"Meckel's diverticulum","volume":"192","author":"Yahchouchy,","year":"2001","journal-title":"J. Am. Coll. Surg."},{"key":"R7-4-20260421","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1007\/s00268-004-7512-3","article-title":"Meckel's diverticulum: comparison of incidental and symptomatic cases","volume":"28","author":"Bani-Hani,","year":"2004","journal-title":"World J. Surg"},{"issue":"182","key":"R8-4-20260421","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1001\/jama.1962.03050420027007","article-title":"Meckel's diverticulum: 55 years of clinical and surgical experience","volume":"20","author":"Weinstein,","year":"1962","journal-title":"JAMA"},{"issue":"10","key":"R9-4-20260421","doi-asserted-by":"crossref","first-page":"1327545","DOI":"10.3389\/fsurg.2023.1327545","article-title":"Meckel's diverticulum: analysis of 27 cases in an adult population","volume":"18","author":"Hern\u00e1ndez,","year":"2023","journal-title":"Front. Surg."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010538?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010538?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2024.110272","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T16:58:43Z","timestamp":1786035523000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2024.110272"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110272","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-07-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}