{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:41:34Z","timestamp":1790862094524,"version":"4.1.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Appendico-ileal knotting (AIK) is a rare and often overlooked cause of small bowel obstruction (SBO), frequently mimicking conditions like perforated appendicitis. We report a case of a 28-year-old Ethiopian male presenting with acute lower abdominal pain, nausea, anorexia, and bilious vomiting. Imaging suggested SBO, and emergency laparotomy revealed 1.5\u00a0l of hemorrhagic ascites and a gangrenous distal ileum caused by a 20\u00a0cm gangrenous appendix wrapped around the ileum. Surgical treatment involved untwisting the knot, appendectomy, resection of 1\u00a0m of ileum, and ileo-transverse anastomosis. The patient recovered well and was discharged on postoperative Day 6. AIK should be considered in SBO cases without previous abdominal surgery, and early surgical intervention is crucial to avoid complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf539","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T02:44:37Z","timestamp":1752720277000},"source":"Crossref","is-referenced-by-count":5,"title":["Gangrenous small bowel obstruction resulting from appendico-ileal knotting: a rare case report from Bete Markos Medical and Surgical Center, Ethiopia"],"prefix":"10.1093","volume":"2025","author":[{"given":"Berhanu","family":"Kassahun","sequence":"first","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Sciences, Debre Markos University , Debre Markos, PO Box 269, Gojjam ,","place":["Ethiopia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4213-3664","authenticated-orcid":false,"given":"Abebe Dilie","family":"Afenigus","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medicine and Health Sciences, Debre Markos University , Debre Markos, PO Box 269, Gojjam ,","place":["Ethiopia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"2025071622443202300_ref1","doi-asserted-by":"publisher","first-page":"100893","DOI":"10.1016\/j.cpsurg.2020.100893","article-title":"Small bowel obstruction","volume":"58","author":"Detz","year":"2021","journal-title":"Curr Probl Surg"},{"key":"2025071622443202300_ref2","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":"2025071622443202300_ref3","doi-asserted-by":"publisher","first-page":"e05878","DOI":"10.1002\/ccr3.5878","article-title":"Appendico-ileal knotting causing small bowel obstruction: a case report","volume":"10","author":"Abule","year":"2022","journal-title":"Clinical Case Reports"},{"key":"2025071622443202300_ref4","first-page":"159","article-title":"Appendico-ileal knotting: a rare cause of strangulated small bowel obstruction","volume":"34","author":"Idowu","year":"2024","journal-title":"Ethiop J Health Sci"},{"key":"2025071622443202300_ref5","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1007\/s00247-002-0723-6","article-title":"Appendico-ileal knotting resulting in closed-loop obstruction in a child","volume":"32","author":"Yang","year":"2002","journal-title":"Pediatr Radiol"},{"key":"2025071622443202300_ref6","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1055\/s-0042-100916","article-title":"Appendico-ileal knotting mimicking adhesive bowel disease","volume":"54","author":"Okello","year":"2016","journal-title":"Z Gastroenterol"},{"key":"2025071622443202300_ref7","doi-asserted-by":"publisher","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int J Surg (London, England)"},{"key":"2025071622443202300_ref8","doi-asserted-by":"publisher","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":"2025071622443202300_ref9","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1016\/j.pedneo.2017.10.008","article-title":"Intestinal obstruction caused by appendiceal knot","volume":"60","author":"Lin","year":"2019","journal-title":"Pediatr Neonatol"},{"key":"2025071622443202300_ref10","first-page":"15","article-title":"Diagnostic dilemma of appendiculo-ileal knotting in a 15-year-old female patient. A case report","volume":"2","author":"Kassie","year":"2025","journal-title":"J Biomed Res Clin Adv"},{"key":"2025071622443202300_ref11","doi-asserted-by":"publisher","first-page":"426","DOI":"10.5455\/ijmsph.2015.0711201475","article-title":"Acute small bowel obstruction as a result of an appendicular knot encircling the terminal ileum: an exceptionally rare case report","volume":"4","author":"Ranjan","year":"2015","journal-title":"Int J Med Sci Public Health"},{"key":"2025071622443202300_ref12","doi-asserted-by":"publisher","first-page":"Pd09","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"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf539\/63779837\/rjaf539.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf539\/63779837\/rjaf539.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T02:44:38Z","timestamp":1752720278000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf539\/8203564"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf539","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]},"article-number":"rjaf539"}}