Tomographic findings in Meckel’s diverticulitis

Santos, Rômulo Florêncio Tristão; Tibana, Tiago Kojun; Filho, Carlos Fernando Rio Lima; Marchiori, Edson; Nunes, Thiago Franchi

doi:10.1590/0100-3984.2017.0215

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Some cases of Meckel’s diverticulum can be complicated, and Meckel’s diverticulitis accounts for 13%–31% of such cases [ 11 ]. Perforation of Meckel’s diverticulum is very rare and accounts for 0.5% of symptomatic cases.…”

Section: Discussionmentioning

confidence: 99%

Fishbone perforating Meckel’s diverticulum: an acute appendicitis mimicker

Kafle,

Chhetri,

Jha

et al. 2024

Journal of Surgical Case Reports

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Perforation of Meckel’s diverticulum by a foreign body is rare, but when it occurs, it can mimic acute appendicitis, leading to diagnostic challenges. We present a case of a 45-year-old male initially diagnosed with acute appendicitis, but intra-operative exploration revealed a perforated Meckel’s diverticulum with a fish bone. Meckel’s diverticulum perforation remains diagnostically elusive, highlighting the need for intra-operative vigilance in cases of inconsistent findings like the presence of bilious fluid in the abdominal cavity. This case report underscores the importance of considering perforated Meckel’s diverticulum in the differential diagnosis of right iliac fossa pain and the necessity of surgical exploration for atypical presentations to ensure timely diagnosis and appropriate management.

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Section: Discussionmentioning

confidence: 99%

Fishbone perforating Meckel’s diverticulum: an acute appendicitis mimicker

Kafle,

Chhetri,

Jha

et al. 2024

Journal of Surgical Case Reports

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“…Diverticulitis is seen in 13–31% of complicated cases of MD [ 7 ]. Perforation is very rare and is responsible for 0.5% of symptomatic MD [ 8 , 9 ], mainly related to foreign bodies, inflammation and trauma.…”

Section: Discussionmentioning

confidence: 99%

Perforated Meckel’s diverticulitis secondary to a corn kernel obstruction of lumen in an elderly patient

Garcia

Tan

Riddell

2021

Journal of Surgical Case Reports

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Meckel’s diverticulum (MD) is the most common congenital malformation of the gastrointestinal tract. The most frequent complications are bleeding, intestinal obstruction, intussusception and neoplasm. Perforation because of diverticulitis is very rare and usually associated to foreign bodies. We report a case of an elderly man who presented with right iliac fossa pain, raised inflammatory markers and a computer tomography (CT) scan suggestive of Meckel’s diverticulitis. He underwent a laparoscopic converted to open small bowel resection and primary anastomosis for perforated MD, which revealed a corn kernel at its base in the absence of ectopic gastric or pancreatic tissue. Symptomatic and perforated MD secondary to a phytobezoar is extremely rare in elderly patients, hence the importance of clinical suspicion in patients with abdominal pain, independent from their age, to avoid delay in diagnosis, which can lead to increased morbidity and mortality in this demographic.

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Tomographic findings in Meckel’s diverticulitis

Cited by 2 publications

References 10 publications

Fishbone perforating Meckel’s diverticulum: an acute appendicitis mimicker

Fishbone perforating Meckel’s diverticulum: an acute appendicitis mimicker

Perforated Meckel’s diverticulitis secondary to a corn kernel obstruction of lumen in an elderly patient

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