{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:51:01Z","timestamp":1782384661347,"version":"3.54.5"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Torsion of the vermiform appendix is rare. When torsion involves an appendiceal mucocele, timely surgical management, and avoidance of rupture are essential to prevent intraperitoneal mucin spillage. A 68-year-old woman presented with 12\u00a0h history of severe lower abdominal pain. Examination revealed marked lower abdomen rebound tenderness and her laboratory tests showed leukocytosis and elevated C-reactive protein. Urgent computed tomography demonstrated a 9\u2009\u00d7\u20093.4\u00a0cm predominantly cystic mass posterior to the uterus with mural calcifications, consistent with an appendiceal mucocele. Emergency laparotomy revealed a necrotic appendiceal mucocele with complete torsion. The lesion was resected intact. Histopathology confirmed an appendiceal mucocele. The patient had an uncomplicated recovery and remains in excellent condition 3\u00a0months postoperatively. Appendiceal mucocele torsion should be considered in acute abdomen with a cystic pelvic mass on computed tomography. Intact resection is a key operative principle.<\/jats:p>","DOI":"10.1093\/jscr\/rjag409","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:41:51Z","timestamp":1778586111000},"source":"Crossref","is-referenced-by-count":0,"title":["Torsion of a necrotic appendiceal mucocele presenting as acute abdomen: a rare case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Efstratios","family":"Kouskos","sequence":"first","affiliation":[{"name":"Surgical Department, General Hospital \u201cVostanio\u201d , Mytilene 81100, Lesvos Island ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiota","family":"Dalla","sequence":"additional","affiliation":[{"name":"Surgical Department, General Hospital \u201cVostanio\u201d , Mytilene 81100, Lesvos Island ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis Eirineos","family":"Kouskos","sequence":"additional","affiliation":[{"name":"School of Medicine, European University Cyprus , Egkomi, 2404 Nicosia ,","place":["Cyprus"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apostolos","family":"Andronikou","sequence":"additional","affiliation":[{"name":"Surgical Department, General Hospital \u201cVostanio\u201d , Mytilene 81100, Lesvos Island ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,31]]},"reference":[{"key":"2026062506260612300_ref1","doi-asserted-by":"publisher","first-page":"e95246","DOI":"10.7759\/cureus.95246","article-title":"Torsion of appendiceal mucinous neoplasm: a rare cause of right lower quadrant abdominal pain","volume":"17","author":"Bowers","year":"2025","journal-title":"Cureus"},{"key":"2026062506260612300_ref2","doi-asserted-by":"publisher","first-page":"S47","DOI":"10.4174\/jkss.2011.81.Suppl1.S47","article-title":"Torsion of a mucocele of the vermiform appendix: a case report and review of the literature","volume":"81","author":"Lee","year":"2011","journal-title":"J Korean Surg Soc"},{"key":"2026062506260612300_ref3","doi-asserted-by":"publisher","first-page":"S34","DOI":"10.3393\/ac.2020.00150.0021","article-title":"Impending rupture with a twisted huge appendiceal mucocele treated with totally laparoscopic resection: a case series","volume":"37","author":"Ahn","year":"2021","journal-title":"Ann Coloproctol"},{"key":"2026062506260612300_ref4","doi-asserted-by":"publisher","first-page":"365","DOI":"10.12659\/AJCR.908725","article-title":"Torsion of the vermiform appendix: a case report and review of literature","volume":"19","author":"Wan Hassan","year":"2018","journal-title":"Am J Case Rep"},{"key":"2026062506260612300_ref5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/jscr\/rjaa442","article-title":"Torsion of a mucocele of the vermiform appendix: report of a case","volume":"2020","author":"Knol","year":"2020","journal-title":"J Surg Case Rep"},{"key":"2026062506260612300_ref6","doi-asserted-by":"publisher","first-page":"3364","DOI":"10.1111\/ans.17671","article-title":"Torsion of an appendiceal mucocele","volume":"92","author":"Primrose","year":"2022","journal-title":"ANZ J Surg"},{"key":"2026062506260612300_ref7","doi-asserted-by":"publisher","first-page":"41","DOI":"10.4103\/1117-6806.169820","article-title":"Appendicular torsion","volume":"22","author":"Dubhashi","year":"2016","journal-title":"Niger J Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag409\/68610347\/rjag409.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag409\/68610347\/rjag409.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:26:22Z","timestamp":1782383182000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag409\/8698824"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag409","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag409"}}