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Perforated Meckel's Diverticulum Lithiasis: An Unusual Cause of Peritonitis

Umasankar Mathuram Thiyagarajan1, Amirthavarshini Ponnuswamy, Atul Bagul

  • 1Department of General and Transplant Surgery, Derriford Hospital, Plymouth PL6 8DH, UK.

Case Reports in Surgery
|July 3, 2013
PubMed

Insights

Meckel

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's diverticulum is a common congenital gastrointestinal malformation.
  • It is a remnant of the omphalomesenteric duct and can cause various complications.
  • Complications include bleeding, obstruction, and perforation, with lithiasis being rare.

Purpose of the Study:

  • To report a rare case of Meckel's diverticulum lithiasis.
  • To describe the presentation and management of this condition.

Main Methods:

  • Case report of an otherwise healthy individual presenting with acute abdomen.
  • Diagnostic workup including exploratory laparotomy.
  • Surgical management involving segmental resection and anastomosis.

Main Results:

  • A perforated Meckel's diverticulum with lithiasis was identified.
  • The patient underwent successful surgical resection and anastomosis.
  • Recovery was complicated by pneumonia, but the patient was discharged on day 20 with no long-term issues at 6 months.

Conclusions:

  • Meckel's diverticulum lithiasis is a rare but significant cause of acute abdomen.
  • Prompt surgical intervention is crucial for managing such cases.
  • Despite potential complications like pneumonia, surgical outcomes can be favorable.

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