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Record W7118821257 · doi:10.1093/jscr/rjaf1032

An unexpected giant: incidental discovery of a giant Meckel’s diverticulum during appendectomy

2025· article· en· W7118821257 on OpenAlexaff
Kadeem Knight, Cherian J Cherian

Bibliographic record

VenueJournal of Surgical Case Reports · 2025
Typearticle
Languageen
FieldMedicine
TopicGastrointestinal disorders and treatments
Canadian institutionsKingston General Hospital
Fundersnot available
KeywordsDiverticulum (mollusc)Acute appendicitisAppendixAppendicitisComputed tomographySurgical procedures

Abstract

fetched live from OpenAlex

Giant Meckel's diverticula (GMD), characterized by a diameter over 5 cm, are a rare manifestation of the most common congenital gastrointestinal anomaly. GMDs challenge the conventional understanding of Meckel's diverticulum. Their detection may be linked to complications such as inflammation, perforation, or obstruction, which are more frequent in larger lesions. This report presents an unusual case of GMD found incidentally during surgery for acute appendicitis, representing the first documented instance in the English-speaking Caribbean. It emphasizes the diagnostic difficulties associated with these lesions, the possibility of additional pathology, and the reason for surgical removal, even when they are discovered incidentally.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.105
Threshold uncertainty score0.493

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.009
GPT teacher head0.280
Teacher spread0.271 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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