{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T20:59:45Z","timestamp":1769633985934,"version":"3.49.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":34,"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>Rectal diverticulum is an exceedingly rare clinical entity, typically occurring as a solitary lesion or, less frequently, as up to three diverticula. Its development is often associated with underlying conditions such as obstructive defecation syndrome, rectal malignancy, pelvic floor weakness, chronic rectal impaction, obesity, or infection-related muscular atrophy. Although uncommon, rectal diverticulitis represents a surgical emergency requiring timely recognition and management. In this case, a female patient presented with rectal bleeding and secondary anemia. During the clinical course, the patient developed pelvic sepsis secondary to rectal diverticulitis. Appropriate surgical intervention, combined with antimicrobial therapy and supportive management, led to a favorable outcome. Rectal diverticulitis is a rare but potentially life-threatening condition. Awareness of this entity and early diagnosis are essential to prevent severe complications such as perforation and pelvic sepsis. This case highlights the importance of considering rectal diverticulum in the differential diagnosis of lower gastrointestinal bleeding and pelvic infections.<\/jats:p>","DOI":"10.1093\/jscr\/rjag016","type":"journal-article","created":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T12:31:31Z","timestamp":1768134691000},"source":"Crossref","is-referenced-by-count":0,"title":["Perforated solitary mid-rectal diverticulum diagnosed with colonoscopy: a case report and literature review"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5286-3532","authenticated-orcid":false,"given":"Andrej","family":"Nikolovski","sequence":"first","affiliation":[{"name":"Department of Abdominal Surgery, Zan Mitrev Clinic , Bledski Dogovor 8, 1000 Skopje ,","place":["North Macedonia"]},{"name":"Ss. Cyril and Methodius University in Skopje , Boulevard Goce Delchev 9, 1000 Skopje ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vladimir","family":"Avramoski","sequence":"additional","affiliation":[{"name":"University Clinic of Gastroenterohepatology, Clinical Center \u201cMother Theresa\u201d , Majka Tereza 17, 1000 Skopje ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaudia","family":"Gjinoska","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery, Zan Mitrev Clinic , Bledski Dogovor 8, 1000 Skopje ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0971-6710","authenticated-orcid":false,"given":"Irena","family":"Kostovska","sequence":"additional","affiliation":[{"name":"Ss. Cyril and Methodius University in Skopje , Boulevard Goce Delchev 9, 1000 Skopje ,","place":["North Macedonia"]},{"name":"Department of Medical and Experimental Biochemistry, Faculty of Medicine , 50 Divizija, 1000 Skopje ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emil","family":"Stoicovski","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Zan Mitrev Clinic , Bledski dogovor 8, 1000 Skopje ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zan","family":"Mitrev","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zan Mitrev Clinic , Bledski dogovor 8, 1000 Skopje ,","place":["North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"2026012713171513900_ref1","doi-asserted-by":"publisher","first-page":"1660","DOI":"10.21037\/tcr-23-632","article-title":"Rectal diverticulum: a rare surgical dilemma that manifest in different ways and manageable with new treatment options","volume":"12","author":"Gumber","year":"2023","journal-title":"Transl Cancer Res"},{"key":"2026012713171513900_ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.25259\/crcr_126_2024","article-title":"Solitary rectal diverticulum: a rare entity mimicking contained perforation \u2013 imaging and surgical correlation","author":"Tulenko","year":"2025","journal-title":"Case Reports Clin Radiol"},{"key":"2026012713171513900_ref3","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1556\/650.2018.31010","article-title":"Report of a case and review of the literature","volume":"159","author":"Vass","year":"2018","journal-title":"Orv Hetil"},{"key":"2026012713171513900_ref4","doi-asserted-by":"publisher","first-page":"1049","DOI":"10.21037\/tcr-22-2676","article-title":"Large rectal diverticulum in the setting of pelvic organ prolapse treated with robotic ventral mesh rectopexy: a case report","volume":"12","author":"Bustamante-Lopez","year":"2023","journal-title":"Transl Cancer Res"},{"key":"2026012713171513900_ref5","doi-asserted-by":"publisher","first-page":"222","DOI":"10.3393\/jksc.2012.28.4.222","article-title":"A case of a mucinous adenocarcinoma arising from a rectal diverticulum","volume":"28","author":"Kwon","year":"2012","journal-title":"J Korean Soc Coloproctol"},{"key":"2026012713171513900_ref6","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1007\/s10151-008-0389-z","article-title":"Rectal diverticulum: a new complication of STARR procedure for obstructed defecation","volume":"12","author":"Sciaudone","year":"2008","journal-title":"Tech Coloproctol"},{"key":"2026012713171513900_ref7","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.amsu.2019.11.015","article-title":"A case of solitary rectal diverticulum presenting with a large retrorectal abscess","volume":"2020","author":"Gorgoraptis","year":"2019","journal-title":"Ann Med Surg"},{"key":"2026012713171513900_ref8","doi-asserted-by":"publisher","first-page":"60","DOI":"10.5152\/tjg.2015.4521","article-title":"Rectal diverticulitis mimicking rectal carcinoma with intestinal obstruction: case report","volume":"26","author":"\u00d6z\u00e7elik","year":"2015","journal-title":"Turkish J Gastroenterol"},{"key":"2026012713171513900_ref9","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1007\/s12328-009-0132-6","article-title":"Perforation of rectal diverticulum with amyloidosis secondary to rheumatoid arthritis: case report and review of the literature","volume":"3","author":"Takeuchi","year":"2010","journal-title":"Clin J Gastroenterol"},{"key":"2026012713171513900_ref10","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1016\/j.cireng.2013.05.002","article-title":"Solitary rectal diverticulum. 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