A case of retroperitoneal abscess: A rare complication of Meckel’s diverticulum

Hong, Jeana; Park, Sung Bae

doi:10.1016/j.ijscr.2017.10.012

Cited by 6 publications

(4 citation statements)

References 9 publications

(9 reference statements)

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“…Cases of perforated Meckel's with subsequent abscess formation have been found in adults [7], but there are few in children [3,4]. Tese rare cases of perforation made us suspect a Meckel's diverticulum in our patient [4].…”

Section: Discussionmentioning

confidence: 80%

An Unusual Case of a Perforated Meckel’s Diverticulum

Alvarez

Rajderkar

Beasley

2023

Case Reports in Pediatrics

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Background. Meckel’s diverticulum, the most common congenital anomaly of the gastrointestinal tract, typically presents in children with gastrointestinal bleeding. Case Presentation. An 11-year-old Caucasian male presented with a 6 week history of abdominal pain, vomiting, and diarrhea. He was found to have iron deficiency anemia, markedly elevated serum and fecal inflammatory markers, and imaging showing a contained bowel perforation. He was evaluated for infectious etiologies and later underwent extensive testing for inflammatory bowel disease. Ultimately, he was found to have a Meckel’s diverticulum, which was successfully resected and led to resolution of his gastrointestinal complaints. Conclusions. This case report highlights one of the more rare presentations in children, which is intestinal perforation. Symptoms of a Meckel’s diverticulum can overlap with those of inflammatory bowel disease, as demonstrated by our patient. Clinicians should be familiar with criteria to establish diagnosis of inflammatory bowel disease, and if diagnosis isn’t fully supported by testing, they should expand the differential and consider Meckel’s diverticulum.

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Section: Discussionmentioning

confidence: 80%

An Unusual Case of a Perforated Meckel’s Diverticulum

Alvarez

Rajderkar

Beasley

2023

Case Reports in Pediatrics

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“…e common origins of retroperitoneal abscesses are kidney or renal tract, retrocecal appendicitis, pancreatitis, biliary tract diseases, peptic ulcer diseases, and osteomyelitis of vertebral bodies [1]. It has been reported through case series that retroperitoneal abscesses are more prevalent among immunocompromised patients [2]. In this case, she was a previously undiagnosed patient with diabetes mellitus and had an HbA 1 C of 11.4%, which indicated poorly controlled diabetes over a prolonged period of time.…”

Section: Discussionmentioning

confidence: 80%

“…On presentation, this patient was investigated as a case of pyrexia of unknown origin. e current definition of pyrexia of unknown origin is pyrexia for ≥3 weeks with no identified cause after evaluation in hospital for 3 days or ≥3 outpatient visits [2]. is patient fulfilled this criterion.…”

Section: Discussionmentioning

confidence: 99%

Successful Medical Management of a Retroperitoneal Abscess: A Difficult Diagnosis in Pyrexia of Unknown Origin

Ishan

Thilakasiri

Weeratunga

et al. 2020

Case Reports in Infectious Diseases

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Retroperitoneal abscesses are uncommon conditions with occult and insidious presentations. ere is often a lack of abdominal signs and ultrasound findings, causing a delay in diagnosis and definitive treatment, leading to poor patient outcomes. We report a case of right-sided retroperitoneal abscess of a 28-year-old female patient with diabetes mellitus. Prior to admission, the patient reported a vague 2 weeks history of right-sided back and abdominal pain and dysuria. She presented to our medical ward with suspected pyelonephritis with right-sided renal abscess. A retroperitoneal abscess involving the right renal fossa was revealed on an urgent CT scan. e patient underwent percutaneous ultrasound-guided pigtail catheter drainage. Patient clinically and biochemically improved with medical management gradually over 2 weeks. is case report highlights the importance of investigating for recurrent urinary tract infections of diabetics which are often overlooked in general practice.

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“…Cases of perforated Meckel's diverticulum with subsequent abscess formation have been found in adults[ 13 ], but rarely in children[ 3 ]. These rare cases of perforation led us to suspect the presence of Meckel's diverticulum in our patient[ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Appendicitis combined with Meckel’s diverticulum obstruction, perforation, and inflammation in children: Three case reports

Sun,

Xin,

Liu

et al. 2024

World J Clin Cases

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BACKGROUND Meckel’s diverticulum is a common congenital malformation of the small intestine, with the three most common complications being obstruction, perforation, and inflammation. To date, only a few cases have been reported worldwide. In children, the clinical symptoms are similar to appendicitis. As most of the imaging features are nonspecific, the preoperative diagnosis is not precise. In addition, the clinical characteristics are highly similar to pediatric acute appendicitis, thus special attention is necessary to distinguish Meckel’s diverticulum from pediatric appendicitis. Patients with poor disease control should undergo laparoscopic exploration to avoid serious complications, including intestinal necrosis, intestinal perforation and gastrointestinal bleeding. CASE SUMMARY This report presents three cases of appendicitis in children combined with intestinal obstruction, which was caused by fibrous bands (ligaments) arising from the top part of Meckel's diverticulum, diverticular perforation, and diverticular inflammation. All three patients, aged 11-12 years, had acute appendicitis as their initial clinical presentation. All were treated by laparoscopic surgery with a favorable outcome. A complete dataset including clinical presentation, diagnostic imaging, surgical information, and histopathologic findings was also provided. CONCLUSION Preoperative diagnosis of Meckel’s diverticulum and its complications is challenging because its clinical signs and complications are similar to those of appendicitis in children. Laparoscopy combined with laparotomy is useful for diagnosis and treatment.

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A case of retroperitoneal abscess: A rare complication of Meckel’s diverticulum

Cited by 6 publications

References 9 publications

An Unusual Case of a Perforated Meckel’s Diverticulum

An Unusual Case of a Perforated Meckel’s Diverticulum

Successful Medical Management of a Retroperitoneal Abscess: A Difficult Diagnosis in Pyrexia of Unknown Origin

Appendicitis combined with Meckel’s diverticulum obstruction, perforation, and inflammation in children: Three case reports

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