{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:05:32Z","timestamp":1793196332698,"version":"4.5.0"},"reference-count":11,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,8]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Meckel\u2019s diverticulum is the most common congenital anomaly of the gastrointestinal tract, though it rarely presents with perforation in adulthood. Clinical presentation may often mimic more benign conditions, delaying diagnosis.<\/jats:p>\n                  <jats:p>We present the case of a healthy male patient in his early thirties who presented with abdominal discomfort, nausea and vomiting, following a few days of loose stools attributed to viral gastroenteritis. The patient was haemodynamically stable apart from mild tachycardia. Computed tomography (CT) imaging revealed pneumoperitoneum and free pelvic fluid, suggesting bowel perforation. Urgent diagnostic laparoscopy revealed a perforated Meckel\u2019s diverticulum, prompting segmental small bowel resection and primary anastomosis. The patient recovered uneventfully. Histopathology confirmed a perforated Meckel\u2019s diverticulum with ectopic gastric mucosa.<\/jats:p>\n                  <jats:p>Meckel\u2019s diverticulum should be considered in the differential diagnosis of bowel perforation, even in healthy adults presenting with nonspecific gastrointestinal symptoms. Prompt cross-sectional imaging and timely surgical intervention are crucial for optimal outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2025-267730","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T14:40:19Z","timestamp":1769697619000},"page":"e267730","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Ruptured Meckel\u2019s diverticulum in a healthy young adult: a rare cause of acute abdomen and bowel perforation"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8103-2781","authenticated-orcid":false,"given":"Samuelson E","family":"Osifo","sequence":"first","affiliation":[{"name":"Department of Surgery, Yale School of Medicine, New Haven, Connecticut, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6433-9159","authenticated-orcid":false,"given":"Lisa M","family":"Kodadek","sequence":"additional","affiliation":[{"name":"Department of Surgery, Yale School of Medicine, New Haven, Connecticut, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"2026012906401290000_19.1.e267730.1","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.99.10.501"},{"key":"2026012906401290000_19.1.e267730.2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(01)00817-1"},{"key":"2026012906401290000_19.1.e267730.3","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/1749-7922-3-27","article-title":"Emergency surgery for Meckel\u2019s diverticulum","volume":"3","author":"Sharma","year":"2008","journal-title":"World J Emerg Surg"},{"key":"2026012906401290000_19.1.e267730.4","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1097\/00000658-199410000-00014","article-title":"Surgical management of Meckel\u2019s diverticulum. An epidemiologic, population-based study","volume":"220","author":"Cullen","year":"1994","journal-title":"Ann Surg"},{"key":"2026012906401290000_19.1.e267730.5","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000154270.14308.5f"},{"key":"2026012906401290000_19.1.e267730.6","first-page":"353","article-title":"Complications of Meckel\u2019s diverticula in adults","volume":"49","author":"Dumper","year":"2006","journal-title":"Can J Surg"},{"key":"2026012906401290000_19.1.e267730.7","first-page":"350","article-title":"Laparoscopic resection of a perforated Meckel\u2019s diverticulum","volume":"72","author":"Takemura","year":"2005","journal-title":"J Nippon Med Sch"},{"key":"2026012906401290000_19.1.e267730.8","first-page":"245","article-title":"Perforated Meckel\u2019s diverticulum in an adult patient","volume":"83","author":"Pitiakoudis","year":"2012","journal-title":"Ann Ital Chir"},{"key":"2026012906401290000_19.1.e267730.9","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1002\/bjs.1800730225","article-title":"Meckel\u2019s diverticulum in the adult","volume":"73","author":"Leijonmarck","year":"1986","journal-title":"Br J Surg"},{"key":"2026012906401290000_19.1.e267730.10","first-page":"732","article-title":"Detection of ectopic gastric mucosa in Meckel\u2019s diverticulum by scintigraphy: II","volume":"22","author":"Sfakianakis","year":"1981","journal-title":"J Nucl Med"},{"key":"2026012906401290000_19.1.e267730.11","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31815aaaf8"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-267730","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T14:40:21Z","timestamp":1769697621000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-267730"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,29]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-267730"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-267730","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}