{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T23:21:31Z","timestamp":1773357691057,"version":"3.50.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"vor","delay-in-days":23,"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>Mechanical small bowel obstruction (SBO) secondary to acute appendicitis is rare, described only in isolated reports. Herein we present a photo-documented case illustrating this mechanism. A 39-year-old female presented postoperative day 6 from laparoscopic myomectomy with periumbilical abdominal pain and distention. Computed tomography showed possible SBO, and after 24\u00a0h without improvement, exploratory laparoscopy was performed revealing a necrotic-appearing appendix completely encircling and obstructing the small bowel proximal to the terminal ileum. Appendectomy was performed facilitating patient recovery. Acute appendicitis can cause SBO through several mechanisms. Mechanical obstruction by an inflamed appendix is a rare etiology that\u2019s been variably called appendicular knot, appendico-ileal knot, appendicular band syndrome, or appendicular tie syndrome. This may be associated with closed-loop obstruction and bowel strangulation warranting prompt surgery. Although rare, acute appendicitis should be considered as a possible cause of SBO of unknown etiology.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf1075","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T12:53:52Z","timestamp":1766580832000},"source":"Crossref","is-referenced-by-count":1,"title":["Mechanical small bowel obstruction secondary to acute appendicitis"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7605-7715","authenticated-orcid":false,"given":"Muhi D","family":"Barazi","sequence":"first","affiliation":[{"name":"Department of Biosciences, Rice University , 6100 Main Street, Houston, Texas 77005 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malek","family":"Zanbrakji","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Georgetown University , 3700 O Street, NW Washington, DC 20057 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Safra","sequence":"additional","affiliation":[{"name":"Department of Surgery, INOVA Health System , 3300 Gallows Road, Falls Church, Virginia 22042 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Hegab","sequence":"additional","affiliation":[{"name":"Department of Surgery, INOVA Health System , 3300 Gallows Road, Falls Church, Virginia 22042 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maseer","family":"Bade","sequence":"additional","affiliation":[{"name":"Department of Surgery, INOVA Health System , 3300 Gallows Road, Falls Church, Virginia 22042 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Bayasi","sequence":"additional","affiliation":[{"name":"Virginia Surgery Group , Private Practitioner, 1850 Town Center Parkway, Reston, Virginia 20190 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"2026011613280990100_ref1","doi-asserted-by":"publisher","first-page":"67","DOI":"10.4240\/wjgs.v7.i4.67","article-title":"Appendiceal tie syndrome: a very rare complication of a common disease","volume":"7","author":"Awale","year":"2015","journal-title":"World J Gastrointest Surg"},{"key":"2026011613280990100_ref2","doi-asserted-by":"publisher","first-page":"S362","DOI":"10.1097\/TA.0b013e31827019de","article-title":"Evaluation and management of small-bowel obstruction: an Eastern Association for the Surgery of Trauma practice management guideline","volume":"73","author":"Maung","year":"2012","journal-title":"J Trauma Acute Care Surg"},{"key":"2026011613280990100_ref3","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1097\/00000658-190107000-00070","article-title":"V. 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A report of three cases successfully operated upon","volume":"34","author":"Hotchkiss","year":"1901","journal-title":"Ann Surg"},{"key":"2026011613280990100_ref4","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1186\/1749-7922-4-34","article-title":"Appendicitis as a cause of intestinal strangulation: a case report and review","volume":"4","author":"Bhandari","year":"2009","journal-title":"World J Emerg Surg"},{"key":"2026011613280990100_ref5","doi-asserted-by":"publisher","first-page":"9","DOI":"10.7860\/jcdr\/2016\/18932.7827","article-title":"Appendicular tourniquet: a cause of intestinal obstruction","volume":"10","author":"Chowdary","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"2026011613280990100_ref6","doi-asserted-by":"publisher","first-page":"102488","DOI":"10.1016\/j.epsc.2022.102488","article-title":"Appendiceal band syndrome as a cause of mechanical intestinal obstruction: a case report","volume":"87","author":"Gondal","year":"2022","journal-title":"J Ped Surg Case Rep"},{"key":"2026011613280990100_ref7","doi-asserted-by":"publisher","first-page":"111452","DOI":"10.1016\/j.ijscr.2025.111452","article-title":"Appendicular band syndrome leading to small bowel obstruction: a case report of a rare complication of acute appendicitis","volume":"132","author":"Jha","year":"2025","journal-title":"Int J Surg Case Rep"},{"key":"2026011613280990100_ref8","doi-asserted-by":"publisher","first-page":"110194","DOI":"10.1016\/j.ijscr.2024.110194","article-title":"Appendico-ileal knot: a rare form of small bowel obstruction: a case report","volume":"123","author":"Kabuye","year":"2024","journal-title":"Int J Surg Case Rep"},{"key":"2026011613280990100_ref9","doi-asserted-by":"publisher","first-page":"rjy088","DOI":"10.1093\/jscr\/rjy088","article-title":"Appendico ilial knotting: a rare cause of small bowel obstruction","volume":"2018","author":"Kifle","year":"2018","journal-title":"J Surg Case Rep"},{"key":"2026011613280990100_ref10","doi-asserted-by":"publisher","first-page":"101637","DOI":"10.1016\/j.visj.2023.101637","article-title":"Simultaneous occurrence of acute appendicitis and appendicular band syndrome in a patient with intestinal obstruction","volume":"31","author":"Park","year":"2023","journal-title":"Vis J of Emerg Med"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/1\/rjaf1075\/66430550\/rjaf1075.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/1\/rjaf1075\/66430550\/rjaf1075.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T18:28:18Z","timestamp":1768588098000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf1075\/8427433"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,24]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,12,24]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf1075","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":"rjaf1075"}}