{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T23:40:01Z","timestamp":1794440401374,"version":"4.9.1"},"reference-count":20,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,1,27]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>Meckel\u2019s diverticulum is the most common congenital abnormality of the small bowel, present in about 2% of the population. A man in his 20s underwent a laparoscopic appendicectomy for acute appendicitis and recovered uneventfully. He presented to the emergency department 1\u2009month later with features of acute small bowel obstruction. Emergency diagnostic laparoscopy revealed a band adhesion between the apex of a Meckel\u2019s diverticulum to the appendicectomy stump. Internal herniation of ileum under this band adhesion resulted in small bowel obstruction and ischaemic necrosis of the Meckel\u2019s diverticulum. The band adhesion was divided, and the Meckel\u2019s diverticulum was resected at the base with a linear cutting stapler. This complication has not been reported previously. A Meckel\u2019s diverticulum is an important differential diagnosis of acute appendicitis and should routinely be searched for among other pathologies. It can rarely cause a postoperative complication of internal hernia.<\/jats:p>","DOI":"10.1136\/bcr-2023-257717","type":"journal-article","created":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T12:25:14Z","timestamp":1707135914000},"page":"e257717","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Post-appendicectomy small bowel obstruction due to internal hernia involving Meckel\u2019s diverticulum"],"prefix":"10.1136","volume":"17","author":[{"given":"Chanyang","family":"Lee","sequence":"first","affiliation":[{"name":"East Metropolitan Health Service, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iman","family":"Antoun","sequence":"additional","affiliation":[{"name":"Kalgoorlie Health Campus, Kalgoorlie, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,2,5]]},"reference":[{"key":"2025082702191140000_17.2.e257717.1","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.99.10.501"},{"key":"2025082702191140000_17.2.e257717.2","unstructured":"Snyder CMD . 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