{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:37:08Z","timestamp":1789774628722,"version":"4.0.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T00:00:00Z","timestamp":1715126400000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Perforation of Meckel\u2019s diverticulum by a foreign body is rare, but when it occurs, it can mimic acute appendicitis, leading to diagnostic challenges. We present a case of a 45-year-old male initially diagnosed with acute appendicitis, but intra-operative exploration revealed a perforated Meckel\u2019s diverticulum with a fish bone. Meckel\u2019s diverticulum perforation remains diagnostically elusive, highlighting the need for intra-operative vigilance in cases of inconsistent findings like the presence of bilious fluid in the abdominal cavity. This case report underscores the importance of considering perforated Meckel\u2019s diverticulum in the differential diagnosis of right iliac fossa pain and the necessity of surgical exploration for atypical presentations to ensure timely diagnosis and appropriate management.<\/jats:p>","DOI":"10.1093\/jscr\/rjae293","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T12:56:12Z","timestamp":1715172972000},"source":"Crossref","is-referenced-by-count":1,"title":["Fishbone perforating Meckel\u2019s diverticulum: an acute appendicitis mimicker"],"prefix":"10.1093","volume":"2024","author":[{"given":"Sujan","family":"Kafle","sequence":"first","affiliation":[{"name":"Provincial Hospital Bhadrapur , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varsha","family":"Chhetri","sequence":"additional","affiliation":[{"name":"B.P. Koirala Institute of Health Sciences , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binesh","family":"Jha","sequence":"additional","affiliation":[{"name":"Provincial Hospital Bhadrapur , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabin","family":"Bhujel","sequence":"additional","affiliation":[{"name":"Provincial Hospital Bhadrapur , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rambabu","family":"Khadka","sequence":"additional","affiliation":[{"name":"Provincial Hospital Bhadrapur , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subhash Kumar","family":"Das","sequence":"additional","affiliation":[{"name":"Provincial Hospital Bhadrapur , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"2024050812542475500_ref1","first-page":"1","article-title":"Perforated Meckel\u2019s diverticulitis secondary to a corn kernel obstruction of lumen in an elderly patient","volume":"2021","author":"De La Cruz","year":"2021","journal-title":"J Surg Case Rep"},{"key":"2024050812542475500_ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2021\/9574737","article-title":"Meckel\u2019s diverticulum diagnosed by balloon-assisted enteroscopy: a multicenter report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)","volume":"2021","author":"Chou","year":"2021","journal-title":"Gastroenterol Res Pract"},{"key":"2024050812542475500_ref3","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/S1015-9584(09)60364-X","article-title":"Fish bone perforation of Meckel\u2019s diverticulum: a rare event?","volume":"28","author":"Wong","year":"2005","journal-title":"Asian J Surg"},{"key":"2024050812542475500_ref4","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjz003","article-title":"Perforation of Meckel\u2019s diverticulum by a swallowed fish bone: case report and literature review","volume":"2019","author":"Santos","year":"2019","journal-title":"J Surg Case Rep"},{"key":"2024050812542475500_ref5","doi-asserted-by":"crossref","first-page":"E206","DOI":"10.1111\/ans.13125","article-title":"Perforation of Meckel\u2019s diverticulum by an intact fish bone: a case report and literature review","volume":"87","author":"Daniele","year":"2017","journal-title":"ANZ J Surg"},{"key":"2024050812542475500_ref6","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.ijscr.2016.08.026","article-title":"Meckel\u2019s diverticulum perforation by a fish bone: a case report","volume":"28","author":"Gon\u00e7alves","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2024050812542475500_ref7","first-page":"8887603","article-title":"Fish bone causing perforation of the intestine and Meckel\u2019s diverticulum","volume":"2020","author":"Shahid","year":"2020","journal-title":"Case Rep Surg"},{"key":"2024050812542475500_ref8","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1186\/1752-1947-7-231","article-title":"Perforation of Meckel\u2019s diverticulum by a fish bone presenting as acute appendicitis: a case report","volume":"7","author":"Dimitriou","year":"2013","journal-title":"J Med Case Reports"},{"key":"2024050812542475500_ref9","doi-asserted-by":"crossref","first-page":"15","DOI":"10.11604\/pamj.2019.34.15.17803","article-title":"Evaluation of Alvarado score in diagnosing acute appendicitis","volume":"34","author":"Awayshih","year":"2019","journal-title":"Pan Afr Med J"},{"key":"2024050812542475500_ref10","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1007\/s00268-004-7512-3","article-title":"Meckel\u2019s diverticulum: comparison of incidental and symptomatic cases","volume":"28","author":"Bani-Hani","year":"2004","journal-title":"World J 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