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Isolated Meckel's diverticulum perforation as a sequel to blunt abdominal trauma: a case report

Christopher N Ekwunife1, Tobechi N Mbadugha, Udonna N Ogbue

  • 1Department of Surgery, Federal Medical Centre, P,M,B 1010 Owerri, Nigeria. chrisekwunife@yahoo.co.uk.

Journal of Medical Case Reports
|April 4, 2014
PubMed
Abstract

Insights

Perforation of Meckel

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Meckel's diverticulum is the most common congenital gastrointestinal abnormality.
  • Complications include hemorrhage, obstruction, and inflammation.
  • Perforation following blunt abdominal trauma is exceptionally rare.

Observation:

  • A 29-year-old Nigerian man presented with peritonitis after a road traffic accident.
  • Physical examination revealed abdominal distension, guarding, and rigidity.
  • Emergency laparotomy identified a perforated Meckel's diverticulum.

Findings:

  • The patient underwent segmental ileal resection and reanastomosis.
  • Postoperative recovery included a surgical site infection.
  • The patient remained asymptomatic during a three-month follow-up period.

Implications:

  • Blunt abdominal trauma can lead to Meckel's diverticulum perforation.
  • Awareness of this rare complication is crucial for timely diagnosis and management.
  • Prompt surgical intervention can limit patient morbidity.

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