{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:08:51Z","timestamp":1777385331981,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":117,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Axial torsion with subsequent gangrene of Meckel\u2019s diverticulum represents an exceptionally rare cause of small bowel obstruction, one of the rarest causes of small bowel obstruction. Meckel\u2019s diverticulum is the most common congenital anomaly of the gastrointestinal tract, and it is often discovered incidentally during abdominal surgery, particularly in pediatric patients. Approximately 4% of individuals with Meckel\u2019s diverticulum develop complications, including bleeding, obstruction, inflammation, intussusception, or perforation, with torsion being the rarest. Despite its rarity, symptomatic Meckel\u2019s diverticulum poses serious diagnostic and therapeutic challenges due to its nonspecific clinical presentation, which may mimic other intra\u2010abdominal pathologies. Consequently, preoperative diagnosis is difficult, and delayed management may lead to life\u2010threatening complications. We report a case of axial gangrenous torsion of a giant Meckel\u2019s diverticulum in a child without a history of previous abdominal surgery. In such cases, prompt decision\u2010making for exploratory laparotomy or laparoscopy is crucial to achieving a favorable outcome. We report a case of axial torsion with gangrene of a giant Meckel\u2019s diverticulum in a 7\u2010year\u2010old boy with no prior history of abdominal surgery. This case highlights the importance of early recognition and timely operative management in atypical presentations of acute abdomen in children.<\/jats:p>","DOI":"10.1155\/cris\/9903442","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:32:49Z","timestamp":1777368769000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Axial Torsion of a Necrotic Giant Meckel\u2019s Diverticulum With Secondary Peritonitis in a 7\u2010Year\u2010Old: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6546-5819","authenticated-orcid":false,"given":"Maria Daniela","family":"Tr\u0103ilescu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian Ionel","family":"Pavel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian Silviu","family":"Cri\u0219an","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen Nicoleta","family":"Cindea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry Ifeanyi","family":"Osakwe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4004-8694","authenticated-orcid":false,"given":"Georgiana Maria","family":"Bo\u0219tinaru","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(78)90238-6"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/014107680609901011"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2001.05344.x"},{"key":"e_1_2_12_4_2","first-page":"67","article-title":"Axial Torsion and Gangrene of a Giant Meckel\u2019s Diverticulum","volume":"15","author":"Limas C.","year":"2006","journal-title":"Journal of gastrointestinal and liver diseases"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(87)80583-8"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(88)90052-6"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-005-2774-7"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.08.003"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2006.16.425"},{"key":"e_1_2_12_10_2","first-page":"56","article-title":"A Fifty-Year Experience With Meckel\u2019s Diverticulum","volume":"156","author":"Mackey W. 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