{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T14:11:56Z","timestamp":1780927916383,"version":"3.54.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T00:00:00Z","timestamp":1680739200000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Meckel\u2019s diverticulum (MD) occurs in 2% of the population and is often asymptomatic. It is an embryological remnant of the oomphalomesenteric duct and can be associated with another embryonic structure\u2014the urachus. A 23-year-old male presented with generalized abdominal pain and fever on a background of chronic abdominal pain and recurrent urinary infections. A CT scan of the abdomen and pelvis revealed an inflamed MD. Next day, the patient deteriorated and was taken to theatre. The MD was found to be both perforated and tethered to the umbilicus, which itself was directly related to an abnormal extra-peritoneal structure\u2014shown to be a urachal remnant. Such cases pose diagnostic and therapeutic challenges. Young males with chronic abdominal pain and recurrent urinary infections should be thoroughly investigated for such pathology. Laparoscopic approach to such cases should be undertaken with caution due to possible umbilical tethering.<\/jats:p>","DOI":"10.1093\/jscr\/rjad158","type":"journal-article","created":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T21:49:06Z","timestamp":1680817746000},"source":"Crossref","is-referenced-by-count":2,"title":["A case of perforated Meckel\u2019s diverticulitis tethered to the umbilicus associated with a urachal remnant"],"prefix":"10.1093","volume":"2023","author":[{"given":"Christopher","family":"Woods","sequence":"first","affiliation":[{"name":"General Surgery, St George\u2019s Hospital , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Whitehead-Clarke","sequence":"additional","affiliation":[{"name":"Centre for 3D models of Health and disease, University College London , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benita","family":"Stevenson","sequence":"additional","affiliation":[{"name":"Pathology, St George\u2019s Hospital , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirav","family":"Patel","sequence":"additional","affiliation":[{"name":"Radiology, St George\u2019s Hospital , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myutan","family":"Kulendran","sequence":"additional","affiliation":[{"name":"General Surgery, St George\u2019s Hospital , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,4,6]]},"reference":[{"key":"2023040621484332900_","doi-asserted-by":"crossref","first-page":"e12154","DOI":"10.1097\/MD.0000000000012154","article-title":"Systematic review of epidemiology, presentation, and management of Meckel's diverticulum in the 21st 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