{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T15:15:50Z","timestamp":1771082150041,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"vor","delay-in-days":44,"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 Pediatrics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Background<\/jats:title>\n Neonatal pneumoperitoneum is a life\u2010threatening condition requiring urgent surgical intervention. Although Meckel\u2019s diverticulum (MD) and anorectal malformations (ARMs) are individually recognised congenital anomalies, their coexistence is uncommon, and perforated MD in a neonate with a bucket\u2010handle ARM has been rarely described in the literature.<\/jats:p>\n <\/jats:sec>\n \n Case Presentation<\/jats:title>\n A term male neonate (birthweight 2600\u2009g) presented on Day 4 of life with progressive abdominal distension and nonbilious vomiting. Examination revealed tachycardia, tachypnoea, delayed capillary refill and a bucket\u2010handle ARM with meconium staining. Abdominal radiograph showed free subdiaphragmatic air. Emergency laparotomy identified a 4\u20105\u2009mm perforation at the tip of a MD located 40\u2009cm proximal to the ileocaecal valve, with severe feculent contamination. A wedge diverticulectomy including the perforated segment was performed, the ileum was closed transversely in two layers and a divided sigmoid colostomy was fashioned. Recovery was uneventful.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Perforation occurs in only 3%\u201310% of symptomatic MD cases and is extremely rare in neonates, particularly with coexisting ARM. No prior literature describes perforated MD in a bucket\u2010handle ARM. This case highlights the importance of thorough evaluation for associated gastrointestinal anomalies in ARM patients and raises the question of whether selective or routine screening is warranted.<\/jats:p>\n <\/jats:sec>","DOI":"10.1155\/crpe\/2238981","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T14:48:34Z","timestamp":1771080514000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perforated Meckel\u2019s Diverticulum in a Neonate With Bucket\u2010Handle Anorectal Malformation: A Rare Surgical Emergency"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4676-2591","authenticated-orcid":false,"given":"Umar","family":"Mahmood","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9245-1316","authenticated-orcid":false,"given":"Rija","family":"Khalid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2673-0557","authenticated-orcid":false,"given":"Chaudhary Ehtsham","family":"Azmat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9966-180X","authenticated-orcid":false,"given":"Wajeeh Ur","family":"Rehman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6482-1515","authenticated-orcid":false,"given":"Sunaina","family":"Siddique","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0370-754X","authenticated-orcid":false,"given":"Raisa","family":"Bakhat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,14]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i20.6417"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2021.0111"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/children9010035"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-019-0742-1"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sempedsurg.2023.151349"},{"key":"e_1_2_11_6_2","first-page":"363","article-title":"Hospital 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