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[Acute Meckel's diverticulitis perforated by a foreign body]

M Pahomeanu, A Anghelide, F Mandache

    Revista De Chirurgie, Oncologie, Radiologie, O.R.L., Oftalmologie, Stomatologie. Chirurgie
    |July 1, 1976
    PubMed

    Insights

    Acute Meckel diverticulitis, often caused by a fish bone, can mimic appendicitis. Surgical exploration is crucial for diagnosis when clinical signs and surgical findings do not align.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology
    • Abdominal Imaging

    Background:

    • Appendicitis is a common cause of acute right iliac fossa pain.
    • Meckel diverticulitis is a less common but important differential diagnosis.
    • Foreign body perforation is a rare etiology of Meckel diverticulitis.

    Observation:

    • A patient presented with symptoms suggestive of acute appendicitis.
    • Intraoperative findings revealed acute Meckel diverticulitis perforated by a fish bone.
    • Diagnosis of acute diverticulitis is often challenging preoperatively.

    Findings:

    • Clinical presentation can be misleading, simulating other acute abdominal conditions.
    • Surgical correlation of clinical and pathological findings is essential.
    • Thorough examination of the cecum, appendix, and terminal ileum is necessary when discrepancies arise.

    Implications:

    • Highlights the importance of considering Meckel diverticulitis in appendicitis-like presentations.
    • Emphasizes the need for meticulous surgical inspection beyond the appendix.
    • Underscores the diagnostic challenges and surgical management of perforated Meckel diverticulitis.

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