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Case Report | DOI: https://doi.org/10.31579/2690-1919/598
1Department of Radiology, Al-Ahli Hospital, Doha, Qatar.
2Department of Surgery, Al Ahli Hospital, Doha Qatar.
3College of Medicine, QU Health, Qatar University, Doha, Qatar.
*Corresponding Author: Mustafa Sadeq Alghazzawi, Department of Radiology, Al-Ahli Hospital, Doha, Qatar.
Citation: Mustafa S. Alghazzawi, Thair S. Abdullah, Bakhos Alhaddad, Rafif M Al Saady, (2025) Closed-Loop Small Bowel Obstruction Caused by Meckel’s Diverticulum: A Rare Case with Radiologic–Surgical Correlation, J Clinical Research and Reports, 21(5); DOI:10.31579/2690-1919/598
Copyright: © 2025, Mustafa Sadeq Alghazzawi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 28 October 2025 | Accepted: 20 November 2025 | Published: 26 November 2025
Keywords: meckel’s diverticulum; small bowel obstruction; closed-loop obstruction; internal hernia; multidetector computed tomography; ischemia
Background: Meckel’s diverticulum (MD) is the one of most common congenital abnormality of the gastrointestinal tract, affecting approximately 2% of the population. Although it is usually asymptomatic, MD can occasionally lead to severe complications, including inflammation, bleeding, and very rarely obstruction, Closed-loop small bowel obstruction (SBO) due to internal herniation around MD is extremely rare and potentially life threatening.
Case Presentation: A 31-year-old Kazakhstani female presented to Al-Ahli Hospital with a two-day history of severe lower abdominal pain, repeated vomiting, and constipation. Laboratory tests showed elevated C-reactive protein, hypokalemia, and hypocalcemia. CT abdomen with contrast revealed a closed-loop small bowel obstruction with a C-shaped configuration, “double-beak” sign, and a tubular structure tethered to the distal ileum, suggestive of Meckel’s diverticulum. Urgent diagnostic laparoscopy demonstrated a fibrous band extending from the tip of a Meckel’s diverticulum, and adherent to the adjacent mesentery, forming a ring-like structure that entrapped an ileal loop. The bowel was congested but viable. The band was divided, releasing the bowel, and approximately 20 cm of the terminal ileum including the necrotic diverticulum was resected with a stapled ileoileal anastomosis. Histopathology confirmed an inflamed Meckel’s diverticulum with vascular congestion and fibrous proliferation; resection margins were clear. The patient recovered well, and was discharged in stable condition on postoperative day three.
Conclusion: MDCT findings of the double-beak sign, closed-loop configuration, and vessel convergence, along with a band-like structure around the area of transition, should raise suspicion for an internal hernia, particularly in patients with no history of prior abdominal surgery. Early radiologic diagnosis enables prompt surgical intervention and may prevent the need for bowel resection.
MD: Meckel’s diverticulum
SBO: Small bowel obstruction
MDCT: Multidetector Computed Tomography
Meckel’s diverticulum results from incomplete obliteration of the vitelline duct during embryogenesis and is present in 2–3% of the population [1]. Most cases remain asymptomatic; however, complications occur in 4-6% of patients, most commonly bleeding, diverticulitis, and rarely obstruction [2]. Obstruction may arise from fibrous mesodiverticular band [3], intussusception with MD acting as the lead point [3], or internal herniation through adhesions fiber formed at the diverticular tip [4].
A 31-year-old Kazakhstani female presented to the Emergency Department at Al-Ahli Hospital with a two-day history of severe lower abdominal pain, repeated episodes of vomiting, and constipation. She reported no passage of stool for the preceding two days. The patient was married with two children and had a history of two previous cesarean sections.
On physical examination, the abdomen was markedly distended with generalized tenderness and guarding. Laboratory investigations revealed an elevated C-reactive protein (CRP) level of 85 mg/L, hypokalemia (serum potassium 3.2 mmol/L), and hypocalcemia (serum calcium 1.98 mmol/L), while other hematological and biochemical parameters were within normal limits.Simple X-Ray of the Abdomen showed features of small bowel obstruction. [Figure 1]
Figure 1: Supine abdominal radiograph demonstrating dilated loops of proximal small bowel in the central part of abdomen, (yellow arrow), containing non-ionic oral contrast, consistent with small bowel obstruction. A transition point is noted in the mid pelvis position (white arrow), suggestive of a mechanical etiology.
Multidetector computed tomography (MDCT) of the abdomen with oral non-ionic contrast demonstrated a tubular structure arising from the distal ileum, showing two adjacent transition points (the “double-beak” sign), a C-shaped closed-loop configuration, and convergence of mesenteric vessels toward the diverticular base. These findings were consistent with a closed-loop small bowel obstruction (SBO) secondary to Meckel’s diverticulum. [Figure 2] [Figure 3] [Figure 4]
Figure 2: Axial contrast-enhanced CT image of the lower abdomen shows dilated loops of contrast-filled small bowel, consistent with small bowel obstruction. A blind-ending tubular structure tethered toward the terminal ileum (yellow arrow) is visualized, representing a Meckel’s diverticulum, which appears to be the lead point causing obstruction.
Figure 3: sagittal CT image of the abdomen shows A fibrous band arising from a Meckel’s diverticulum (yellow arrow) is seen encircling the distal ileal loops, forming the transition point. Dilated fluid-filled loop of obstructed small bowel below this point, consistent with a closed-loop obstruction., contrast-filled proximal small bowel loops are observed above the site of obstruction.
Figure 4: Left image: Coronal contrast-enhanced CT image of the abdomen demonstrating a Meckel’s diverticulum forming a ring-like fibrous band around a segment of distal small bowel (blue arrow), consistent with internal herniation. Proximal to the transition, there are contrast-filled, dilated small bowel loops, while a collapsed, C-shaped, fluid-filled obstructed loop is seen distal to the point of constriction—findings suggestive of closed-loop small bowel obstruction. Right image: Coronal CT image of the abdomen shows a C-shaped, fluid-filled loop of obstructed small bowel (yellow arrowheads), consistent with a closed-loop obstruction. A fibrous band arising from a Meckel’s diverticulum (blue arrow) is seen encircling the distal ileal loops, forming the transition point. Dilated, contrast-filled proximal small bowel loops are observed above the site of obstruction.
An urgent diagnostic laparoscopy was performed, revealing a large amount of serous ascetic fluid within the peritoneal cavity, which was subsequently drained. The small bowel appeared markedly dilated. A fibrous band was identified originating from the tip of a large ilea diverticulum, located approximately 50 cm proximal to the ileocecal junction (consistent with a Meckel’s diverticulum). This band extended downward toward the left side of the pelvis, where it was adherent to the adjacent mesentery, forming a ring-like structure that entrapped a loop of ileum—creating an internal herniation of the small bowel.
The herniated bowel loop appeared severely congested but remained viable. The fibrous band was divided, allowing complete reduction of the herniated segment, which gradually regained normal color and adequate perfusion. The Meckel’s diverticulum was found to be necrotic at its base with evidence of a small perforation and tiny leak. Consequently, resection of approximately 20 cm of the terminal ileum, including the diverticulum, was performed. A side-to-side ileoileal anastomosis was fashioned using a linear stapler, and the mesenteric defect was closed. A leak test of the anastomosis was conducted and revealed no leakage. A drain was placed, and the abdominal wall was closed in layers. [Figure 5]
Figure 5: Left image: intra-operative image shows A fibrous band of Meckel’s diverticulum, (yellow arrow) is seen encircling the distal ileal loops, forming the transition point. Dilated fluid-filled loop of obstructed small bowel below this point, appear congested, consistent with a closed-loop obstruction, proximal dilated small bowel loops are observed above the site of obstruction. Right image: Intra-operative imaging following lysis of the fibrous band revealed a Meckel's diverticulum exhibiting necrosis at its base (red arrows).
The patient’s condition improved gradually, and she resumed normal bowel movements. The abdominal drain was removed on the third postoperative day, and the patient was discharged home in stable condition.
Gross examination of the resected specimen revealed a piece of small bowel measuring 7.5 x 3 cm, contains Mackle’s diverticulum in the
middle measuring 2.5 cm with congested serosal surface. Microscopical examination revealed Meckel’s diverticulum lined by small bowel villous mucosa with marked vascular congestion and inflammation in keeping with the clinical diagnosis of Inflamed Meckel’s Diverticulum. [Figure 6]
Figure 6: Left image: Gross photo of small bowel segment with Meckel’s diverticulum. Right image: Diverticulum lined by small bowel mucosa with inflamed wall (Hematoxylin & Eosin, 4X).
Incomplete obliteration of the omphalomesenteric duct during embryonic development results in what we call a Meckel diverticulum. It represents the most common congenital anomaly of the gastrointestinal tract. [1] While Fabricius Hildanus first described it in 1598, the condition is named after Johann Friedrich Meckel, who identified its embryonic origin in 1809. [5,6]
It is classified as a true diverticulum because it contains all layers of the small intestinal wall. In some cases, the diverticulum may also contain ectopic tissue within its walls. The embryonic origin of the ectopic tissue is unknown. Approximately 15% of patients have ectopic tissue within the diverticulum. [1] The ectopic mucosa may also originate from pancreatic or jejunal tissue, or it may consist of a combination of different mucosal types. [7] Acid secretion from ectopic gastric mucosa within the diverticulum may lead to gastrointestinal bleeding and abdominal pain. It is helpful to recall the “rule of twos”: Meckel diverticulum occurs in approximately 2% of the population; about 2% of those affected become symptomatic; symptoms typically present before the age of 2 years; it occurs twice as frequently in males as in females; it is usually located about 2 feet proximal to the ileocecal valve; measures 2 inches or less in length; and may contain 2 types of mucosal lining. [8,9] In Meckel diverticulum, acid secretion from ectopic gastric mucosa is not adequately neutralized, leading to ulceration of the adjacent intestinal mucosa.
Children typically present with the characteristic “currant jelly”–colored stool, whereas adults more commonly present with melena. [10] Risk factors associated with an increased likelihood of developing symptoms include age younger than 50 years, male sex, a diverticulum measuring greater than 2 cm in length, the presence of ectopic tissue, a broad-based diverticulum, and the presence of fibrous bands attached to the diverticulum. [11]
Closed-loop SBO secondary to Meckel’s diverticulum is extremely rare (<1>
Prompt diagnosis can prevent ischemic complications and improve outcomes. The treatment for symptomatic Meckel diverticulum is surgical excision, which can be performed using either a laparoscopic or an open surgical approach. [15]
The present case exemplifies these findings, demonstrating a rare instance of closed-loop small bowel obstruction caused by a fibrous band extending from the tip of a Meckel’s diverticulum. The MDCT findings in our patient showing the classic “double-beak” sign, C-shaped closed-loop configuration, and radial mesenteric vessel convergence—were instrumental in establishing a prompt and accurate preoperative diagnosis. Intraoperative exploration confirmed the imaging findings, revealing an internal herniation of viable bowel through a fibrous band, consistent with the described mechanism of obstruction in the literature. This case highlights the crucial role of high-resolution CT in recognizing the characteristic radiologic features of Meckel’s diverticulum–related complications and underscores the importance of early surgical intervention to prevent ischemia and improve patient outcomes.
Closed-loop small bowel obstruction secondary to a fibrous band arising from the tip of a Meckel’s diverticulum is an exceedingly rare but clinically significant cause of intestinal obstruction. Early and accurate recognition of this entity on CT—particularly identifying features such as a blind-ending ileal pouch, double-beak transition points, and radial mesenteric vessel convergence—is crucial for timely surgical intervention. Prompt diagnosis not only facilitates appropriate management but also helps prevent ischemic complications and improves patient outcomes. Surgical excision remains the definitive treatment and ensures both resolution of obstruction and prevention of recurrence.
Mustafa Sadeq Alghazzawi: Study concept and design, data collection and analysis, writing the paper.
Thair Salman Abdullah: Critical revision of the manuscript, final approval of the paper.
Bakhos Alhaddad: Study concept and design, revision of the manuscript.
Rafif Mahmood Al Saady: Writing the histopathological section, revision of manuscript.
written informed consent were obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.
The authors declare no conflicts of interest and no funding was received for this study.
Ethical approval was obtained from the Institutional Review Board of Al-Ahli Hospital for publication of this case report. A copy of the approval letter is available for review upon request.
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To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed
Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.
Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.
Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.
International Journal of Clinical Case Reports and Reviews is a high quality journal that has a clear and concise submission process. The peer review process was comprehensive and constructive. Support from the editorial office was excellent, since the administrative staff were responsive. The journal provides a fast and timely publication timeline.
Dear Maria Emerson, Editorial Coordinator of International Journal of Clinical Case Reports and Reviews, What distinguishes International Journal of Clinical Case Report and Review is not only the scientific rigor of its publications, but the intellectual climate in which research is evaluated. The submission process is refreshingly free of unnecessary formal barriers and bureaucratic rituals that often complicate academic publishing without adding real value. The peer-review system is demanding yet constructive, guided by genuine scientific dialogue rather than hierarchical or authoritarian attitudes. Reviewers act as collaborators in improving the manuscript, not as gatekeepers imposing arbitrary standards. This journal offers a rare balance: high methodological standards combined with a respectful, transparent, and supportive editorial approach. In an era where publishing can feel more burdensome than research itself, this platform restores the original purpose of peer review — to refine ideas, not to obstruct them Prof. Perlat Kapisyzi, FCCP PULMONOLOGIST AND THORACIC IMAGING.
Dear Grace Pierce, International Journal of Clinical Case Reports and Reviews I appreciate the opportunity to review for Auctore Journal, as the overall editorial process was smooth, transparent and professionally managed. This journal maintains high scientific standards and ensures timely communications with authors, which is truly commendable. I would like to express my special thanks to editor Grace Pierce for his constant guidance, promt responses, and supportive coordination throughout the review process. I am also greatful to Eleanor Bailey from the finance department for her clear communication and efficient handling of all administrative matters. Overall, my experience with Auctore Journal has been highly positive and rewarding. Best regards, Sabita sinha
Dear Mayra Duenas, Editorial Coordinator of the journal IJCCR, I write here a little on my experience as an author submitting to the International Journal of Clinical Case Reports and Reviews (IJCCR). This was my first submission to IJCCR and my manuscript was inherently an outsider’s effort. It attempted to broadly identify and then make some sense of life’s under-appreciated mysteries. I initially had responded to a request for possible submissions. I then contacted IJCCR with a tentative topic for a manuscript. They quickly got back with an approval for the submission, but with a particular requirement that it be medically relevant. I then put together a manuscript and submitted it. After the usual back-and-forth over forms and formality, the manuscript was sent off for reviews. Within 2 weeks I got back 4 reviews which were both helpful and also surprising. Surprising in that the topic was somewhat foreign to medical literature. My subsequent updates in response to the reviewer comments went smoothly and in short order I had a series of proofs to evaluate. All in all, the whole publication process seemed outstanding. It was both helpful in terms of the paper’s content and also in terms of its efficient and friendly communications. Thank you all very much. Sincerely, Ted Christopher, Rochester, NY.
