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Spontaneous perforation of Meckel's diverticulum without peritonitis in a newborn: report of a case

Yu-Tang Chang1, Jan-You Lin, Yu-Sheng Huang

  • 1Division of Pediatric Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100 Tzyou 1st Road, Kaohsiung 80708, Taiwan.

Surgery Today
|November 24, 2006
PubMed

Insights

A newborn male experienced spontaneous Meckel

Area of Science:

  • Neonatal Surgery
  • Pediatric Gastroenterology

Background:

  • Meckel's diverticulum is a common congenital anomaly.
  • Perforation is a rare but serious complication, especially in neonates.

Observation:

  • A newborn male presented with abdominal distention and pneumoperitoneum within 29 hours of birth.
  • No peritonitis was observed due to lack of meconium contamination.

Findings:

  • Histology revealed a focal muscular defect in the Meckel's diverticulum without inflammation or ectopic mucosa.
  • The perforation is attributed to a congenital muscular defect and increased intraluminal pressure.

Implications:

  • This case suggests a novel pathogenesis for spontaneous Meckel's diverticulum perforation in neonates.
  • Highlights the importance of considering congenital defects in neonatal surgical emergencies.

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