{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:42:35Z","timestamp":1791420155778,"version":"4.3.3"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/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>Giant Meckel\u2019s diverticula (GMD), characterized by a diameter over 5\u00a0cm, are a rare manifestation of the most common congenital gastrointestinal anomaly. GMDs challenge the conventional understanding of Meckel\u2019s diverticulum. Their detection may be linked to complications such as inflammation, perforation, or obstruction, which are more frequent in larger lesions. This report presents an unusual case of GMD found incidentally during surgery for acute appendicitis, representing the first documented instance in the English-speaking Caribbean. It emphasizes the diagnostic difficulties associated with these lesions, the possibility of additional pathology, and the reason for surgical removal, even when they are discovered incidentally.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf1032","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T13:15:25Z","timestamp":1765372525000},"source":"Crossref","is-referenced-by-count":1,"title":["An unexpected giant: incidental discovery of a giant Meckel\u2019s diverticulum during appendectomy"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8496-0587","authenticated-orcid":false,"given":"Kadeem A","family":"Knight","sequence":"first","affiliation":[{"name":"Division of General Surgery, Kingston Public Hospital , North Street, Kingston , 18768484793,","place":["Jamaica"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherian J","family":"Cherian","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Kingston Public Hospital , North Street, Kingston , 18768484793,","place":["Jamaica"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"2026010621260985500_ref1","doi-asserted-by":"publisher","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":"2026010621260985500_ref2","doi-asserted-by":"publisher","first-page":"e10307","DOI":"10.7759\/cureus.10307","article-title":"Does an incidental Meckel\u2019s diverticulum warrant resection?","volume":"12","author":"Rahmat","year":"2020","journal-title":"Cureus"},{"key":"2026010621260985500_ref3","doi-asserted-by":"publisher","first-page":"e12154","DOI":"10.1097\/MD.0000000000012154","article-title":"Systematic review of epidemiology, presentation, and management of Meckel\u2019s diverticulum in the 21st century","volume":"97","author":"Hansen","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"2026010621260985500_ref4","doi-asserted-by":"publisher","first-page":"47","DOI":"10.4240\/wjgs.v6.i3.47","article-title":"Giant Meckel\u2019s diverticulum: an exceptional cause of intestinal obstruction","volume":"6","author":"Akbulut","year":"2014","journal-title":"World J Gastrointest Surg"},{"key":"2026010621260985500_ref5","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1007\/s00383-002-0850-z","article-title":"When to resect and when not to resect an asymptomatic Meckel\u2019s diverticulum: an ongoing challenge","volume":"19","author":"\u00d6nen","year":"2003","journal-title":"Pediatr Surg Int"},{"key":"2026010621260985500_ref6","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1016\/j.jviscsurg.2017.06.006","article-title":"Meckel\u2019s diverticulum in the adult","volume":"154","author":"Lequet","year":"2017","journal-title":"J Visc Surg"},{"key":"2026010621260985500_ref7","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1097\/SLA.0b013e3181ef488d","article-title":"Meckel\u2019s diverticulum\u2014a high-risk region for malignancy in the ileum: insights from a population-based epidemiological study and implications in surgical management","volume":"253","author":"Thirunavukarasu","year":"2011","journal-title":"Ann Surg"},{"key":"2026010621260985500_ref8","doi-asserted-by":"publisher","first-page":"1080","DOI":"10.1097\/SLA.0b013e31823acf98","article-title":"Risk of cancer in Meckel\u2019s diverticulum","volume":"254","author":"Thirunavukarasu","year":"2011","journal-title":"Ann Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/1\/rjaf1032\/66283918\/rjaf1032.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/1\/rjaf1032\/66283918\/rjaf1032.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T02:26:19Z","timestamp":1767752779000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf1032\/8415703"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,24]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,12,24]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf1032","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2025,12,24]]},"article-number":"rjaf1032"}}