Meckel’s diverticulum perforation by a fish bone: A case report

Gonçalves, Ana Clara Campagnolo Real; Almeida, Marinho; Malheiro, Luís; Costa-Maia, J.

doi:10.1016/j.ijscr.2016.08.026

Cited by 20 publications

(19 citation statements)

References 14 publications

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“…However, the endoscopic surgery can only be attempted if the FB has not entirely migrated through the gastrointestinal wall and depends a lot on the nature and size of the foreign body, sharp edges, anatomical location, operator experience, and availability of technical equipment, which is expensive [9] , [11] , [22] . Laparoscopy is currently emerging as the preferred treatment approach for managing complicated FB ingestion [16] , [23] . Indeed, it allows a whole peritoneal cavity can be explored adequately with intra or extra-corporeal repair's versatility [16] .…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal perforations by ingested foreign bodies: A preoperative diagnostic flowchart-based experience. A case series report

Mejri

Yaacoubi

Mseddi

et al. 2022

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Gastrointestinal perforations by ingested foreign bodies: A preoperative diagnostic flowchart-based experience. A case series report

Mejri

Yaacoubi

Mseddi

et al. 2022

International Journal of Surgery Case Reports

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“…In a review of 52 complicated Meckel´s diverticula, 8% underwent surgery due to a perforation by a swallowed foreign body [7]. Reported causes of perforation by foreign body include wood splinter, bay leaf, mellon seeds, chicken bone and fish bone [8].…”

Section: Discussionmentioning

confidence: 99%

Perforation of Meckel's diverticulum by a swallowed fish bone: case report and literature review

Santos

Pinto

Barbosa

et al. 2019

Journal of Surgical Case Reports

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Meckel's diverticulum is the commonest congenital abnormality of the gastrointestinal tract. Most cases are asymptomatic and only incidentally found. Its perforation by a foreign body is an extremely rare event. A 53-year-old female presented to Emergency Department with abdominal pain on the right iliac fossa and vomiting. CT scan was performed and showed an intestinal perforation by a foreign body. Diagnostic laparoscopy identified a perforation of a Meckel's diverticulum by a fish bone and a laparoscopic stapled diverticulectomy was performed. Meckel's diverticulum complications are more common in childhood, usually as bleeding. In adults, intestinal obstruction and inflammation are the usual manifestations. Although most swallowed foreign bodies are harmless, in a small number of cases perforation may occur. Preoperative diagnosis of complicated Meckel´s diverticulum is challenging and can often mimic other more common conditions. Laparoscopy is a valuable tool for the diagnosis and treatment of complicated Meckel’s diverticulum.

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“…in length, and more common before the age of 2 and has 2 types of heterotopic mucosa [6]. It is reported that in 55% of Meckel’s diverticula, heterotopic mucosa of gastric and pancreatic tissue is present with the incidence of 60–85% and 5–16%, respectively [7].…”

Section: Discussionmentioning

confidence: 99%

Perforation of the Meckel’s diverticulum with a chicken bone: a case report and literature review

et al. 2019

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Background Meckel’s diverticulum (MD) is the most common congenital abnormality of the gastrointestinal (GI) tract. Most of the people remain asymptomatic during their lifetime, but some can develop complications such as inflammation, haemorrhage or obstruction. Perforation of Meckel’s diverticulum is very rare, and we present a case of perforation by a chicken bone. Case presentation A 19-year-old man presented to the emergency department with abdominal pain, and based on examination and laboratory findings, he was diagnosed with appendicitis initially. Meanwhile, a CT scan was requested and a foreign object inside the Meckel’s diverticulum was noted, and on further questioning, he mentioned that he had chicken with bones 2 days ago. He was taken to the operating theatre, and during laparotomy, the perforated Meckel’s diverticulum was found, and it was resected with primary anastomosis. Conclusion Meckel’s diverticulum follows the ‘rule of twos’, and perforation of it with foreign object is rare. Patients usually present with signs and symptoms of acute abdomen, and appendicitis is the first diagnosis, and the final diagnosis is usually made intraoperatively. Perforation of Meckel’s diverticulum should be considered for the patients who present with acute abdomen, and with precise history taking and investigations, preoperative diagnosis can be achieved.

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Meckel’s diverticulum perforation by a fish bone: A case report

Cited by 20 publications

References 14 publications

Gastrointestinal perforations by ingested foreign bodies: A preoperative diagnostic flowchart-based experience. A case series report

Gastrointestinal perforations by ingested foreign bodies: A preoperative diagnostic flowchart-based experience. A case series report

Perforation of Meckel's diverticulum by a swallowed fish bone: case report and literature review

Perforation of the Meckel’s diverticulum with a chicken bone: a case report and literature review

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