{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T21:23:26Z","timestamp":1760909006270,"version":"3.40.4"},"reference-count":20,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,7,26]]},"abstract":"<jats:p>Meckel's diverticular perforation is a rare cause of acute abdomen during pregnancy. We report the case of a 24-year-old woman at 24\u2005weeks of gestation who presented with abdominal pain for 4\u2005days accompanied with abdominal distension, tenderness and guarding in right lower quadrant. Ultrasonography was inconclusive. The patient underwent exploratory laparotomy with the clinical suspicion of appendicular perforation peritonitis. Intraoperatively, a perforated Meckel's diverticulum was detected. Owing to gross contamination of the peritoneal cavity, a diverticulectomy with ileostomy was performed. She had a normal full-term vaginal delivery, and ileostomy was reversed 1\u2005month after delivery. The physiological and anatomical changes in pregnancy can make a straightforward clinical diagnosis difficult. A high index of suspicion is required to prevent delay in diagnosis and surgical intervention, which could prove detrimental to the mother and fetus.<\/jats:p>","DOI":"10.1136\/bcr-2016-216643","type":"journal-article","created":{"date-parts":[[2016,8,9]],"date-time":"2016-08-09T11:32:55Z","timestamp":1470742375000},"page":"bcr2016216643","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Meckel's diverticular perforation presenting as acute abdomen in the second trimester of pregnancy"],"prefix":"10.1136","volume":"2016","author":[{"given":"Z","family":"Ahmed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Chhabra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Kankaria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RK","family":"Jenaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,8,9]]},"reference":[{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.1","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.ciresp.2015.11.001","article-title":"Update on the management of non-obstetric acute abdomen in pregnant patients","volume":"94","author":"Barber-Millet","year":"2016","journal-title":"Cir Esp"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.2","first-page":"835609","article-title":"Meckel's diverticulitis as a cause of an acute abdomen in the second trimester of pregnancy: laparoscopic management","volume":"2015","author":"Pandeva","year":"2015","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.3","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.7863\/jum.2010.29.10.1457","article-title":"Acute abdomen in pregnancy: role of sonography","volume":"29","author":"Glanc","year":"2010","journal-title":"J Ultrasound Med"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.4","doi-asserted-by":"crossref","first-page":"652","DOI":"10.5811\/westjem.2014.7.22988","article-title":"Appendicitis during pregnancy with a normal MRI","volume":"15","author":"Thompson","year":"2014","journal-title":"West J Emerg Med"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.5","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-012-1066-8"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.6","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1007\/s13244-014-0314-8","article-title":"Imaging for acute pelvic pain in pregnancy","volume":"5","author":"Masselli","year":"2014","journal-title":"Insights Imaging"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.7","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.amsu.2016.01.082","article-title":"An unusual case of intraabdominal abscess and acute abdomen caused by axial torsion of a Meckel's diverticulum","volume":"6","author":"Y\u0131ld\u0131z","year":"2016","journal-title":"Ann Med Surg (Lond)"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.8","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.99.10.501"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.9","first-page":"353","article-title":"Complications of Meckel's diverticula in adults","volume":"49","author":"Dumper","year":"2006","journal-title":"Can J Surg"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.10","doi-asserted-by":"crossref","first-page":"319","DOI":"10.11604\/pamj.2015.20.319.5980","article-title":"Spontaneous perforation of Meckel's diverticulum: a case report and review of literature","volume":"20","author":"Farah","year":"2015","journal-title":"Pan Afr Med J"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.11","first-page":"253","article-title":"Intrauterine fistulation of perforated Meckel's diverticulum to the surface of the sac of an intact exomphalos minor","volume":"60","author":"Mavridis","year":"2008","journal-title":"Minerva Pediatr"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.12","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.cursur.2006.02.009","article-title":"Meckel's diverticulitis: a rare etiology of an acute abdomen during pregnancy","volume":"63","author":"Huerta","year":"2006","journal-title":"Curr Surg"},{"key":"2025042703510892000_2016.aug09_1.bcr2016216643.13","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s00404-004-0641-y","article-title":"Meckel's diverticulum complicating pregnancy. 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