Related Experiment Video

Updated: May 10, 2026

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Perforation of Meckel's Diverticulum by a Peanut Presenting as a Mesentery Abscess

Chia-Hung Su1, Jui-Ying Lee, Yu-Tang Chang

  • 1Department of Surgery, Kaohsiung Medical University Hospital, Taiwan.

Iranian Journal of Pediatrics
|June 1, 2013
PubMed
Abstract

Insights

A rare case of Meckel's diverticulum perforation in a child, caused by a peanut, resulted in a mesentery abscess. This highlights a unique presentation of foreign body-induced perforation and abscess formation in pediatric surgery.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology
  • Foreign Body Complications

Background:

  • Perforation of Meckel's diverticulum by foreign bodies is uncommon in children.
  • Such perforations typically lead to localized or generalized fibropurulent peritonitis.

Observation:

  • A 4-year-old boy presented with a mesentery abscess.
  • The abscess was caused by a perforation of Meckel's diverticulum by a piece of peanut.

Findings:

  • Histology confirmed a transmural perforation at the tip of a wide-based Meckel's diverticulum.
  • The pathogenesis likely involves local inflammation and pressure necrosis from the foreign body.

Implications:

  • This case represents a rare etiology for mesentery abscess in pediatric patients.
  • It underscores the importance of considering unusual foreign body complications in Meckel's diverticulum.
Keywords:
AbscessIntestinal PerforationMeckel's DiverticulumMesenteryPeanuts

More Related Videos

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Related Concept Videos

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.
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...
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:
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...