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Perforation of Meckel's diverticulum by roundworm

Prosanta Kumar Bhattacharjee1, Probhas Chandra Biswas, Debabrata Ray

  • 1Department of Surgery, North Bengal Medical College and Hospital, Susrutanagar, Darjeeling, West Bengal, India. prosantabh@rediffmail.com

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|March 22, 2005
PubMed

Insights

A child

Area of Science:

  • Pediatric surgery
  • Gastrointestinal pathology
  • Parasitic infections

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • Complications include obstruction, bleeding, and intussusception.
  • Intestinal obstruction in infants requires prompt diagnosis and surgical intervention.

Observation:

  • An 11-month-old infant presented with abdominal distension, constipation, vomiting, and fever.
  • Abdominal X-ray indicated intestinal obstruction.
  • Surgical exploration revealed a kinked ileum due to a band from a Meckel's diverticulum.

Findings:

  • A perforated Meckel's diverticulum was identified with a free-floating roundworm in the peritoneal cavity.
  • The diverticulum caused ileal obstruction by kinking.
  • Histological examination showed a wide lumen without heterotopic tissue.

Implications:

  • This case highlights a rare cause of intestinal obstruction in infants.
  • Meckel's diverticulum and parasitic infections can present with severe gastrointestinal symptoms.
  • Surgical resection and anastomosis are effective treatments for such complications.

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