{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T01:03:37Z","timestamp":1759971817382,"version":"build-2065373602"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Small bowel obstruction (SBO) is a common cause of acute abdominal pain, typically resulting from adhesions, hernias, or malignancy. Appendicitis is a rare etiology of mechanical SBO, with less than 50 cases documented in the literature. We report the case of a 66-year-old woman who presented with severe abdominal pain and vomiting. Computed tomography imaging revealed a closed-loop SBO with two transition points in the right lower quadrant and associated mesenteric congestion. Although the appendix appeared unremarkable on imaging, diagnostic laparoscopy identified an inflamed appendix forming a band encircling the small bowel, resulting in mechanical obstruction. A laparoscopic appendectomy was performed, with complete resolution of the obstruction. This case highlights a rare but important cause of SBO and emphasizes the role of early surgical intervention and diagnostic laparoscopy in identifying unusual intra-abdominal pathologies.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf809","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T16:59:10Z","timestamp":1759942750000},"source":"Crossref","is-referenced-by-count":0,"title":["Acute appendicitis causing small bowel obstruction: a rare cause of mechanical obstruction"],"prefix":"10.1093","volume":"2025","author":[{"given":"Shayma","family":"Alahmed","sequence":"first","affiliation":[{"name":"University of British Columbia , Vancouver, British Columbia ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Karmustaji","sequence":"additional","affiliation":[{"name":"University of British Columbia , Vancouver, British Columbia ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harvey","family":"Hawes","sequence":"additional","affiliation":[{"name":"University of British Columbia , Vancouver, British Columbia ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"2025100812585229900_ref1","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1016\/j.mcna.2008.01.003","article-title":"Mechanical obstruction of the small bowel and colon","volume":"92","author":"Cappell","year":"2008","journal-title":"Med Clin North Am"},{"key":"2025100812585229900_ref2","first-page":"94","article-title":"Intestinal obstruction caused by appendicitis: a systematic review","volume":"7","author":"Makama","year":"2017","journal-title":"J West Afr Coll Surg"},{"key":"2025100812585229900_ref3","volume-title":"StatPearls [Internet]","author":"Schick","year":"2025"},{"key":"2025100812585229900_ref4","doi-asserted-by":"publisher","first-page":"1278","DOI":"10.1016\/S0140-6736(15)00275-5","article-title":"Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management","volume":"386","author":"Bhangu","year":"2015","journal-title":"Lancet"},{"key":"2025100812585229900_ref5","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1097\/00000658-190107000-00070","article-title":"Acute intestinal obstruction following appendicitis. A report of three cases successfully operated upon","volume":"34","author":"Hotchkiss","year":"1901","journal-title":"Ann Surg"},{"key":"2025100812585229900_ref6","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"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf809\/64550761\/rjaf809.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf809\/64550761\/rjaf809.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T16:59:19Z","timestamp":1759942759000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf809\/8277756"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":6,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,9,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf809","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,9,30]]},"article-number":"rjaf809"}}