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[Perforation of Meckel's diverticulum with intraabdominal hemorrhage and periappendicular inflammation]

Alaa El-Hussuna1, Aurang Zeb, Anne Mellon Mogensen

  • 1Hvidovre Hospital, Gastroenheden, Kirurgisk Sektion, Hvidovre, Denmark. alaa@itu.dk

Ugeskrift for Laeger
|December 17, 2009
PubMed

Insights

Perforation of Meckel

Area of Science:

  • Gastroenterology
  • Pediatric Surgery

Background:

  • Meckel's diverticulum (MD) perforation is a rare but severe complication.
  • Acute abdominal pain and anemia are key presenting symptoms.

Observation:

  • A 12-year-old girl presented with acute abdominal pain and anemia.
  • Laparotomy revealed hemoperitoneum, a perforated MD, and peri-appendicular inflammation.

Findings:

  • Surgical resection of the ileal segment with the diverticulum and appendectomy were performed.
  • Pathological examination confirmed a perforated peptic ulcer, acute peritonitis, and periappendicitis.

Implications:

  • This case highlights the importance of considering Meckel's diverticulum in pediatric acute abdomen.
  • Prompt surgical intervention is crucial for favorable outcomes in perforated MD cases.

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