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Perforation of Meckel's diverticulum by a chicken bone mimicking acute appendicitis. Case report

A L Campos Canelas1, A N Abud Neto, A L Santos Rodrigues

  • 1Hospital de Pronto Municipal Dr Humberto Maradei Pereira Belém, Pará, Brazil.

Il Giornale Di Chirurgia
|January 30, 2010
PubMed

Insights

Meckel's diverticulum perforation by a chicken bone is a rare but life-threatening condition. This case highlights the importance of considering unusual causes for acute abdomen symptoms.

Area of Science:

  • Gastroenterology
  • Surgical Case Report
  • Abdominal Surgery

Background:

  • Meckel's diverticulum (MD) is a congenital anomaly from incomplete vitelline duct obliteration.
  • MD complications typically include bleeding, obstruction, and inflammation.
  • Perforation by foreign bodies is an exceptionally rare, life-threatening MD complication.

Observation:

  • A 52-year-old male presented with acute abdomen, initially suspected as appendicitis.
  • Exploratory laparotomy revealed a normal appendix but an inflamed, perforated Meckel's diverticulum.
  • A chicken bone was identified as the foreign body causing the perforation.

Findings:

  • Successful surgical resection of the affected ileal segment containing the perforated Meckel's diverticulum.
  • Patient experienced an uncomplicated postoperative recovery.

Implications:

  • This case underscores the critical need to consider rare etiologies like foreign body perforation of Meckel's diverticulum in acute abdomen diagnoses.
  • Highlights the importance of thorough intraoperative examination to identify unexpected findings.
  • Emphasizes the successful management of this rare complication through prompt surgical intervention.

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