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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...

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Updated: Jul 16, 2026

Multimodality Diagnosis of Mesenteric Ischemia
05:07

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Published on: July 21, 2023

Perforated Meckel's diverticulitis presenting as a mesenteric abscess: case report.

R Wasike1, H Saidi

  • 1Aga Khan University Hospital, P.O. Box 30270-00100, Nairobi, Kenya.

East African Medical Journal
|February 22, 2007
PubMed
Summary

Meckel

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Meckel's diverticulae (MD) are congenital anomalies affecting about 2% of the population.
  • Symptomatic MD can lead to complications like diverticulitis, though it's more common in the elderly.

Observation:

  • A case of Meckel's diverticulitis with perforation and mesenteric abscess in a young African male is presented.
  • The patient experienced acute right iliac fossa pain, with a normal appendix noted on CT scan.

Findings:

  • Meckel's diverticulitis can present atypically, even in young patients.
  • Diagnostic challenges include differentiating from appendicitis, especially with normal CT findings for the appendix.

Implications:

  • A lower threshold for considering Meckel's diverticulitis in cases of acute right iliac fossa pain is advised.

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  • This is particularly important in male patients where CT scans show a normal appendix, highlighting diagnostic pitfalls.