{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:31:41Z","timestamp":1786649501989,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Meckel\u2019s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract, though it rarely presents with complications in adulthood. Axial torsion leading to gangrene, especially due to a mesodiverticular band, is an uncommon presentation and may pose a diagnostic challenge. We report a case of a 58-year-old female who presented with acute intestinal obstruction. Diagnostic laparoscopy revealed a gangrenous MD caused by axial rotation around a mesodiverticular band, without involvement of the adjacent ileum. Laparoscopic diverticulectomy was successfully performed. Isolated torsion of the MD is rare, particularly in adults. A mesodiverticular band can predispose to isolated volvulus, ischaemia and gangrene. Early surgical intervention is essential to prevent morbidity, and complicated MD in adults is often misdiagnosed. A high index of suspicion should be maintained in cases of intestinal obstruction with atypical features. This case highlights the importance of early laparoscopic evaluation in adults presenting with unexplained obstruction.<\/jats:p>","DOI":"10.4103\/jmas.jmas_37_26","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T18:00:14Z","timestamp":1776794414000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Gangrenous Meckel\u2019s diverticulum due to axial torsion around a mesodiverticular band: A rare cause of acute abdomen in adults"],"prefix":"10.4103","author":[{"given":"Rahul Ashok","family":"Mishra","sequence":"first","affiliation":[{"name":"Department of Surgical Gastroenterology, SRM Institutes for Medical Sciences, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pichaimuthu","family":"Anbalagan","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, SRM Institutes for Medical Sciences, Chennai, Tamil Nadu, India"},{"name":"Department of Surgical Gastroenterology, MGM Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh","family":"Ramaswamy","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, SRM Institutes for Medical Sciences, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,18]]},"reference":[{"key":"R1-20260421","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/014107680609901011","article-title":"Meckel's diverticulum:A systematic review","volume":"99","author":"Sagar","year":"2006","journal-title":"J R Soc Med"},{"key":"R2-20260421","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1097\/01.sla.0000154270.14308.5f","article-title":"Meckel diverticulum:The Mayo Clinic experience with 1476 patients (1950-2002)","volume":"241","author":"Park","year":"2005","journal-title":"Ann Surg"},{"key":"R3-20260421","first-page":"255","article-title":"Epidemiology, presentation, and management of Meckel's diverticulum in adults","volume":"106","author":"Hansen","year":"2019","journal-title":"Br J Surg"},{"key":"R4-20260421","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1097\/00000658-199410000-00014","article-title":"Surgical management of Meckel's diverticulum. An epidemiologic, population-based study","volume":"220","author":"Cullen","year":"1994","journal-title":"Ann Surg"},{"key":"R5-20260421","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1016\/S1072-7515(01)00817-1","article-title":"Meckel's diverticulum","volume":"192","author":"Yahchouchy","year":"2001","journal-title":"J Am Coll Surg"},{"key":"R6-20260421","first-page":"353","article-title":"Complications of Meckel's diverticula in adults","volume":"49","author":"Dumper","year":"2006","journal-title":"Can J Surg"},{"key":"R7-20260421","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/1749-7922-3-27","article-title":"Emergency surgery for Meckel's diverticulum","volume":"3","author":"Sharma","year":"2008","journal-title":"World J Emerg Surg"},{"key":"R8-20260421","doi-asserted-by":"crossref","first-page":"55","DOI":"10.3389\/fsurg.2018.00055","article-title":"Meckel's diverticulum in adults:Surgical concerns","volume":"5","author":"Blouhos","year":"2018","journal-title":"Front Surg"},{"key":"R9-20260421","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.jviscsurg.2017.06.006","article-title":"Meckel's diverticulum in the adult:Surgical considerations","volume":"154","author":"Lequet","year":"2017","journal-title":"J Visc Surg"},{"key":"R10-20260421","first-page":"e6702","article-title":"Axial torsion and gangrene of Meckel's diverticulum:A rare cause of acute abdomen","volume":"11","author":"Ajmal","year":"2019","journal-title":"Cureus"},{"key":"R11-20260421","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/1319-3767.58760","article-title":"Meckel's diverticulum-revisited","volume":"16","author":"Malik","year":"2010","journal-title":"Saudi J Gastroenterol"},{"key":"R12-20260421","first-page":"382","article-title":"Laparoscopic management of complicated Meckel's diverticulum","volume":"13","author":"Chan","year":"2003","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"R13-20260421","first-page":"553","article-title":"Incidentally detected Meckel diverticulum:Systematic review","volume":"43","author":"Zani","year":"2008","journal-title":"J Pediatr Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_37_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:54:50Z","timestamp":1786647290000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_37_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,18]]},"references-count":13,"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_37_26","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,18]]},"assertion":[{"value":"2026-01-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}