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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
Summary
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.