{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:26:16Z","timestamp":1787009176764,"version":"build-2736575974"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Spontaneous colonic perforation is a rare but life-threatening surgical emergency, particularly uncommon in children without predisposing conditions. We report a 4-year-old male who presented with acute febrile illness, suprapubic abdominal pain, and dysuria, initially managed as cystitis. Despite treatment, he developed peritonitis; imaging revealed free subdiaphragmatic air. Exploratory laparotomy showed an ischemic ascending colon with a solitary perforation, necessitating right hemicolectomy with ileocolic anastomosis. Histopathology demonstrated nonspecific ileitis, typhlitis, and colitis complicated by cecal perforation, with no evidence of typhoid, tuberculosis, or inflammatory bowel disease. Postoperative recovery was uneventful following broad-spectrum antibiotics. This case highlights the diagnostic challenge of spontaneous colonic perforation in children, where non-specific presentations may mimic urinary tract or infectious illnesses. Early recognition and timely surgical intervention are crucial to reduce morbidity and mortality. To our knowledge, this represents one of the few pediatric reports of spontaneous ascending colon perforation in the absence of identifiable etiology.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf1026","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T13:08:53Z","timestamp":1765544933000},"source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous colonic perforation in a pediatric patient with acute febrile illness: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0809-9895","authenticated-orcid":false,"given":"Abhiraj","family":"Yadav","sequence":"first","affiliation":[{"name":"Manipal College of Medical Sciences, Emergency Medicine , Fulbari, Pokhara, 33700 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Arutla","sequence":"additional","affiliation":[{"name":"Mamata Academy of Medical sciences, General Surgery , Hyderabad, 500118 ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreya","family":"Muddana","sequence":"additional","affiliation":[{"name":"Mamata Academy of Medical sciences, General Surgery , Hyderabad, 500118 ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah S","family":"Jenifer","sequence":"additional","affiliation":[{"name":"Mamata Academy of Medical sciences, General Surgery , Hyderabad, 500118 ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malavath","family":"Sharath","sequence":"additional","affiliation":[{"name":"Mamata Academy of Medical sciences, General Surgery , Hyderabad, 500118 ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noorudin","family":"Ansari","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mamata Academy of Medical sciences , Fulbari, Hyderabad 500118 ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"2026010723122943800_ref1","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1016\/j.amsu.2020.11.047","article-title":"Idiopathic spontaneous cecal perforation: a rare pathology with high mortality","volume":"2012","author":"Al-Balas","year":"2020","journal-title":"Ann Med Surg"},{"key":"2026010723122943800_ref2","doi-asserted-by":"publisher","first-page":"392","DOI":"10.4236\/crcm.2014.37087","article-title":"Spontaneous perforation of colon: a case report and review of literature","volume":"3","author":"Makki","year":"2014","journal-title":"Case Reports in Clinical Medicine"},{"key":"2026010723122943800_ref3","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1007\/s12262-016-1565-z","article-title":"Neonatal gastrointestinal perforations: the 10-year experience of a reference hospital","volume":"79","author":"Sara\u00e7","year":"2017","journal-title":"Indian J Surg"},{"key":"2026010723122943800_ref4","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1186\/s13256-023-04157-9","article-title":"Spontaneous rectosigmoid perforation at the watershed area of the Sudeck point in an apparently healthy toddler boy: a case report","volume":"17","author":"Solomon","year":"2023","journal-title":"J Med Case Reports"},{"key":"2026010723122943800_ref5","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1097\/00005176-200004000-00016","article-title":"Spontaneous bowel perforation in infants and young children: a clinicopathologic analysis of pathogenesis","volume":"30","author":"Chen","year":"2000","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"2026010723122943800_ref6","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1186\/s12893-021-01213-3","article-title":"Etiology and surgical management of pediatric acute colon perforation beyond the neonatal stage","volume":"21","author":"Tan","year":"2021","journal-title":"BMC Surg"}],"container-title":["Journal of Surgical Case 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