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Perforation of Meckel's diverticulum by a wood splinter in a 4-year-old child: a case report
D Anyfantakis1, M Kastanakis, A Papadomichelakis
1Primary Health Care Centre of Kissamos, Chania, Crete, Greece. danyfantakis@med.uoc.gr
Abstract:
Perforation of Meckel's diverticulum by a foreign body represents an unusual and serious clinical occurrence. We present a case of a 4-year-old male who was admitted with symptoms of abdominal pain in the right iliac fossa, raising the suspicion of acute appendicitis. Exploratory laparotomy disclosed normal appendix and perforation of Meckel's diverticulum caused by a wood splinter. Meckel's diverticulectomy was performed and the child had an uneventful postoperative course. Preoperative diagnosis of perforated Meckel's diverticulum remains a challenging issue. Diagnosis should be considered in the presence of a right lower quadrant abdominal pain or a positive history of ingestion of a sharp foreign body.
Insights
Foreign body perforation of Meckel
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Meckel's diverticulum is a congenital anomaly that can lead to serious complications.
- Perforation by a foreign body is a rare but critical presentation.
Observation:
- A 4-year-old male presented with right iliac fossa pain, mimicking appendicitis.
- Exploratory laparotomy revealed a perforated Meckel's diverticulum due to a wood splinter, with a normal appendix.
Findings:
- Successful Meckel's diverticulectomy was performed.
- The patient experienced an uncomplicated postoperative recovery.
Implications:
- Preoperative diagnosis of perforated Meckel's diverticulum is challenging.
- Consider Meckel's diverticulum in pediatric patients with right lower quadrant pain, especially with a history of foreign body ingestion.
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