{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:52:26Z","timestamp":1726505546977},"reference-count":10,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2019,7,22]],"date-time":"2019-07-22T00:00:00Z","timestamp":1563753600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>A 38-year-old female presented to the emergency department (ED) with acute-onset right lower quadrant abdominal pain following two days of nausea and vomiting. Physical examination revealed right lower quadrant tenderness to palpation, rebound tenderness, and guarding. Point-of-care ultrasound (POCUS) of the right lower abdomen was performed and interpreted as probable appendicitis. However, upon laparoscopic examination of the abdomen, a benign-appearing appendix was visualized. Further investigation revealed the source of the patient\u2019s pain to be a torsed Meckel\u2019s diverticulum. Although rare, a torsed and inflamed Meckel\u2019s diverticulum can be visualized by POCUS in the ED without the need for further imaging or delay.<\/jats:p>","DOI":"10.5811\/cpcem.2019.5.42976","type":"journal-article","created":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T21:32:11Z","timestamp":1564608731000},"page":"278-281","source":"Crossref","is-referenced-by-count":1,"title":["Sonographic Detection of a Torsed Meckel\u2019s Diverticulum Misinterpreted as Acute Appendicitis"],"prefix":"10.5811","volume":"3","author":[{"given":"Justin","family":"Choi","sequence":"first","affiliation":[{"name":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Dorinzi","sequence":"additional","affiliation":[{"name":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justine","family":"Pagenhardt","sequence":"additional","affiliation":[{"name":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Steratore","sequence":"additional","affiliation":[{"name":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melinda","family":"Sharon","sequence":"additional","affiliation":[{"name":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Minardi","sequence":"additional","affiliation":[{"name":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2019,7,22]]},"reference":[{"key":"ref0","unstructured":"Cole MA and Maldonado N. Evidence-based management of suspected appendicitis in the emergency department. Emerg Med Pract. 2011;13(10):1-29."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Park JJ, Wolff BG, Tollefson MK, et al. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg. 2005;241(3):529-33.","DOI":"10.1097\/01.sla.0000154270.14308.5f"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Sartelli M, Baiocchi GL, Di Saverio S, et al. Prospective Observational Study on Acute Appendicitis Worldwide (POSAW). World J Emerg Surg. 2018;13:19.","DOI":"10.1186\/s13017-018-0179-0"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Sagar J, Kumar V, Shah DK. Meckel\u2019s diverticulum: a systematic review. J R Soc Med. 2006;99(10):501-5.","DOI":"10.1177\/014107680609901011"},{"key":"ref4","unstructured":"Aarnio P and Salonen IS. Abdominal disorders arising from 71 Meckel\u2019s diverticulum. Ann Chir Gynaecol. 2000;89(4):281-4."},{"key":"ref5","unstructured":"Turgeon DK and Barnett JL. Meckel\u2019s diverticulum. Am J Gastroenterol. 1990;85(7):777-81."},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Hadeed AA, Azar RR, Azar NN, et al. Meckel\u2019s diverticulum complicated by axial torsion and gangrene. J Surg Case Rep. 2015;2015(3).pii:rjv008.","DOI":"10.1093\/jscr\/rjv008"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Tehrani HY, Petros JG, Kumar RR, et al. Markers of severe appendicitis. Am Surg. 1999;65(5):453-5.","DOI":"10.1177\/000313489906500515"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Garcia EM, Camacho MA, Karolyi DR, et al. ACR Appropriateness Criteria right lower quadrant pain-suspected appendicitis. J Am Coll Radiol. 2018;15(11S):S373-87.","DOI":"10.1016\/j.jacr.2018.09.033"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Dirks K, Calabrese E, Dietrich CF, et al. EFSUMB Position Paper: Recommendations for Gastrointestinal Ultrasound (GIUS) in Acute Appendicitis and Diverticulitis. Ultraschall Med. 2019;40(2):163-75.","DOI":"10.1055\/a-0824-6952"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T15:02:28Z","timestamp":1695049348000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/0mp4q2r0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,22]]},"references-count":10,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,7,30]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2019.5.42976","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2019,7,22]]}}}