{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:22:53Z","timestamp":1787840573703,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Intestinal obstruction is a common surgical emergency. It has many causes, which may be either benign or malignant. However, appendicitis is not a common cause of intestinal obstruction, hence the challenge in making a diagnosis. Radiological and clinical diagnoses of this could be difficult; hence, diagnosis is mostly intraoperative. This case study involved a 54-year-old male, who presented at Edward Francis Small Teaching Hospital with features of acute intestinal obstruction for 5 days. During surgery, a gangrene of a loop of the bowel was found with an inflamed and partly gangrenous appendix, forming a tourniquet around the loop of the bowel. Appendicectomy and resection of the gangrenous bowel were performed. The postoperative period was uneventful. The patient was discharged on postoperative day 12. We publish this case report to add to the existing literature. In addition, no such case has been reported in the subregion. Appendicitis is not common in the age group in our case study, which makes it different from other cases presented in literature.<\/jats:p>","DOI":"10.4103\/jwas.jwas_177_23","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T05:00:39Z","timestamp":1738904439000},"page":"232-234","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Strangulated Intestinal Obstruction due to Appendiceal Tourniquet: A Case Report"],"prefix":"10.4103","volume":"15","author":[{"given":"Kajali","family":"Camara","sequence":"first","affiliation":[{"name":"Edward Francis Small Teaching Hospital, Banjul, The Gambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles A.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Edward Francis Small Teaching Hospital, Banjul, The Gambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamin S.","family":"Minteh","sequence":"additional","affiliation":[{"name":"Edward Francis Small Teaching Hospital, Banjul, The Gambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ndumbeh","family":"Manneh","sequence":"additional","affiliation":[{"name":"Edward Francis Small Teaching Hospital, Banjul, The Gambia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"CIT0001-20250217","first-page":"5","article-title":"Clinics in surgery strangulated intestinal obstruction due to Appendiceal","volume":"2","author":"Report","year":"2017","journal-title":"Clin Surg"},{"key":"CIT0002-20250217","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/1757-1626-2-9106","article-title":"Acute appendicitis presenting as small bowel obstruction: Two case reports","volume":"2","author":"Harrison","year":"2009","journal-title":"Cases J"},{"key":"CIT0003-20250217","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1186\/s13256-019-2156-y","article-title":"Mechanical small bowel obstruction due to appendiceal tourniquet: A case report and review of literature","volume":"13","author":"Ahmed","year":"2019","journal-title":"J Med Case Rep"},{"key":"CIT0004-20250217","doi-asserted-by":"crossref","first-page":"67","DOI":"10.4240\/wjgs.v7.i4.67","article-title":"Appendiceal tie syndrome: A very rare complication of a common disease","volume":"7","author":"Awale","year":"2015","journal-title":"World J Gastrointest Surg"},{"key":"CIT0005-20250217","first-page":"94","article-title":"Intestinal obstruction caused by appendicitis: A systematic review","volume":"7","author":"Makama","year":"2017","journal-title":"J West Afr Coll Surg"},{"key":"CIT0006-20250217","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/1749-7922-4-34","article-title":"Appendicitis as a cause of intestinal strangulation: A case report and review","volume":"4","author":"Bhandari","year":"2009","journal-title":"World J Emerg Surg"},{"key":"CIT0007-20250217","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.cireng.2011.07.005","article-title":"Appendix constrictor ring: A rare cause of intestinal obstruction","volume":"91","author":"Curado Soriano","year":"2013","journal-title":"Cirug\u00eda Espa\u00f1ola (English Edition)"},{"key":"CIT0008-20250217","first-page":"261","article-title":"Mechanical small bowel obstruction due to an inflamed appendix wrapping around the last loop of ileum","volume":"26","author":"Assenza","year":"2005","journal-title":"G Chir"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_177_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:18Z","timestamp":1787837118000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_177_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,4]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_177_23","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,4]]},"assertion":[{"value":"2023-11-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}