{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T19:26:03Z","timestamp":1787253963354,"version":"build-2736575974"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Jejunal diverticulitis is a rare and often under-recognized cause of acute abdominal pain, frequently presenting with non-specific clinical, biochemical, and radiological findings. A 52-year-old female presented with acute abdominal pain and elevated inflammatory markers, but non-diagnostic imaging. Despite biochemical improvement with conservative management, her symptoms persisted. Diagnostic laparoscopy revealed jejunal diverticulitis with an incidental Meckel\u2019s diverticulum requiring dual segmental small bowel resection. The postoperative course was uneventful. This case highlights the limitations of relying on biochemical and radiological findings in isolation. Persistent symptoms despite reassuring investigations should prompt consideration of operative exploration.<\/jats:p>","DOI":"10.1093\/jscr\/rjag722","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:54:19Z","timestamp":1785412459000},"source":"Crossref","is-referenced-by-count":0,"title":["Jejunal diverticulitis with misleading biochemical improvement: a diagnostic challenge"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3119-755X","authenticated-orcid":false,"given":"Shing Fung Oscar","family":"Miao","sequence":"first","affiliation":[{"name":"Department of General Surgery, Sunshine Coast University Hospital , 6 Doherty Street, Birtinya, Sunshine Coast, Queensland 4575 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priscilla","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sunshine Coast University Hospital , 6 Doherty Street, Birtinya, Sunshine Coast, Queensland 4575 ,","place":["Australia"]},{"name":"School of Medicine and Dentistry, Griffith University, Sunshine Coast University Hospital, Sunshine Coast Health Institute , 6 Doherty Street, Birtinya, Queensland 4575 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Donovan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sunshine Coast University Hospital , 6 Doherty Street, Birtinya, Sunshine Coast, Queensland 4575 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"2026082014395246500_ref1","first-page":"383","article-title":"Small-bowel diverticulosis: perceptions and reality","volume":"184","author":"Akhrass","year":"1997","journal-title":"J Am Coll Surg"},{"key":"2026082014395246500_ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.21037\/jovs.2018.07.01","article-title":"Therapeutic strategies for jejunal diverticulitis: our experience and a review of the recent literature","volume":"4","author":"Fleres","year":"2018","journal-title":"J Vis Surg"},{"key":"2026082014395246500_ref3","doi-asserted-by":"publisher","first-page":"2523","DOI":"10.1111\/j.1572-0241.1998.00605.x","article-title":"The clinical significance of acquired jejunoileal diverticula","volume":"93","author":"Bree","year":"1998","journal-title":"Am J Gastroenterol"},{"key":"2026082014395246500_ref4","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/j.ijscr.2015.03.044","article-title":"Jejuno-ileal diverticulitis: etiopathogenicity, diagnosis and management","volume":"10","author":"Kassir","year":"2015","journal-title":"Int J Surg Case Rep"},{"key":"2026082014395246500_ref5","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1080\/00365520410006288","article-title":"Jejunal diverticulosis: a potentially dangerous entity","volume":"39","author":"Lempinen","year":"2004","journal-title":"Scand J Gastroenterol"},{"key":"2026082014395246500_ref6","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1097\/MCG.0b013e3181919261","article-title":"Small intestinal non-Meckelian diverticulosis","volume":"43","author":"Makris","year":"2009","journal-title":"J Clin Gastroenterol"},{"key":"2026082014395246500_ref7","doi-asserted-by":"publisher","first-page":"106465","DOI":"10.1016\/j.ijscr.2021.106465","article-title":"Perforated ileal diverticulum: a rare cause of small bowel perforation","volume":"87","author":"Rajaguru","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"2026082014395246500_ref8","doi-asserted-by":"publisher","first-page":"74","DOI":"10.14366\/usg.14041","article-title":"Acute diverticulitis of the terminal ileum: ultrasonography and CT findings","volume":"34","author":"Jeong","year":"2015","journal-title":"Ultrasonography"},{"key":"2026082014395246500_ref9","doi-asserted-by":"publisher","first-page":"1454","DOI":"10.1111\/ans.16128","article-title":"Jejunoileal diverticula: a broad spectrum of complications","volume":"90","author":"Bellio","year":"2020","journal-title":"ANZ J Surg"},{"key":"2026082014395246500_ref10","doi-asserted-by":"publisher","first-page":"137","DOI":"10.23736\/S0026-4733.18.07745-3","article-title":"Not all diverticulitis is colonic: small bowel diverticulitis\u2014a systematic review","volume":"74","author":"De Simone","year":"2019","journal-title":"Minerva Chir"},{"key":"2026082014395246500_ref11","doi-asserted-by":"publisher","first-page":"1286","DOI":"10.2214\/AJR.07.3087","article-title":"Jejunal diverticulosis: findings on CT in 28 patients","volume":"190","author":"Fintelmann","year":"2008","journal-title":"AJR Am J Roentgenol"},{"key":"2026082014395246500_ref12","first-page":"726","article-title":"Non-Meckelian jejunal or ileal diverticulosis: an analysis of 112 cases","volume":"116","author":"Tsiotos","year":"1994","journal-title":"Surgery"},{"key":"2026082014395246500_ref13","doi-asserted-by":"publisher","first-page":"1426","DOI":"10.1007\/s003300050862","article-title":"Perforated jejunal diverticulitis as a rare cause of acute abdomen","volume":"9","author":"Peters","year":"1999","journal-title":"Eur Radiol"},{"key":"2026082014395246500_ref14","doi-asserted-by":"publisher","first-page":"e18","DOI":"10.1097\/SLE.0b013e31823c9ba6","article-title":"Laparoscopic diagnosis and management of acute jejunal diverticulitis","volume":"22","author":"Saberski","year":"2012","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2026082014395246500_ref15","doi-asserted-by":"publisher","first-page":"1139","DOI":"10.1016\/j.lpm.2017.08.009","article-title":"Jejunal diverticulitis: review and treatment algorithm","volume":"46","author":"Harbi","year":"2017","journal-title":"Presse Med"},{"key":"2026082014395246500_ref16","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1177\/014107680609901011","article-title":"Meckel\u2019s diverticulum: a systematic review","volume":"99","author":"Sagar","year":"2006","journal-title":"J R Soc Med"},{"key":"2026082014395246500_ref17","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1097\/01.sla.0000154270.14308.5f","article-title":"Meckel diverticulum: the Mayo Clinic experience","volume":"241","author":"Park","year":"2005","journal-title":"Ann Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag722\/70729407\/rjag722.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag722\/70729407\/rjag722.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T18:39:58Z","timestamp":1787251198000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag722\/8767336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag722","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,8]]},"article-number":"rjag722"}}