{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:57:49Z","timestamp":1790794669721,"version":"4.1.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Peritonitis due to typhoid ileal perforation is a life-threatening surgical emergency that remains common in endemic regions but is rarely encountered in developed countries. Anatomically, its presentation is mostly localized to pain in right iliac fossa. A 33-year-old man presented with six days of fever, severe epigastric pain, vomiting, and septic shock. Because of the marked epigastric tenderness and pneumoperitoneum on X-rays, perforated peptic ulcer was the leading preoperative diagnosis. Emergency laparotomy instead revealed severe peritoneal contamination, incidental incomplete midgut malrotation with the caecum and ileocaecal junction in the epigastrium, and a 2\u2009\u00d7\u20092\u00a0cm ileal perforation 15\u00a0cm proximal to the ileocaecal junction. A loop ileostomy was performed. Histology and blood cultures confirmed typhoid fever. The patient recovered uneventfully and underwent successful ileostomy reversal. This case highlights how intestinal malrotation can disguise the classical presentation of typhoid perforation, emphasizing the importance of diagnostic suspicion and intraoperative adaptability.<\/jats:p>","DOI":"10.1093\/jscr\/rjag861","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:24:58Z","timestamp":1790594698000},"source":"Crossref","is-referenced-by-count":0,"title":["Epigastric typhoid ileal perforation unmasking an incidental adult midgut malrotation: a rare clinical co-existence"],"prefix":"10.1093","volume":"2026","author":[{"given":"Hafiz Syed Zaigham Ali","family":"Shah","sequence":"first","affiliation":[{"name":"General Surgery Department, Aberdeen Royal Infirmary\/University of Aberdeen , King's Street, Aberdeen AB24 3FX ,","place":["United Kingdom"]},{"name":"General Surgery Department, King Edward Medical University\/Mayo Hospital , Nila Gumbad Road, Lahore 5400, Punjab 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