Related Experiment Video

Updated: Apr 27, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

1.2K

Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case

William Maclean1, Karoly Szentpáli2

  • 1General Surgery, Royal Hampshire County Hospital, Winchester, UK william.maclean@doctors.org.uk.

Journal of Surgical Case Reports
|June 27, 2014
PubMed

Insights

This report details a rare case of a perforated Meckel

Area of Science:

  • Gastroenterology and Surgical Innovation

Background:

  • Meckel's Diverticulum (MD) is a congenital anomaly of the small intestine, typically presenting with complications like bleeding, obstruction, or infection.
  • While ectopic tissues can be found in MDs, complications arising from impacted gallstones are exceptionally rare.

Observation:

  • A case of localized peritonitis was observed, stemming from a perforated Meckel's Diverticulum.
  • The perforation was caused by a large gallstone impacted at the neck of the Meckel's Diverticulum, a previously unreported mechanism.

Findings:

  • Successful laparoscopic resection of the perforated Meckel's Diverticulum was performed.
  • This case represents a unique presentation of Meckel's Diverticulum complication, distinct from previously documented instances of gallstone impaction causing ileus.

Implications:

  • Highlights the potential for unusual presentations of Meckel's Diverticulum, including perforation due to gallstone impaction.
  • Suggests the need for considering Meckel's Diverticulum in the differential diagnosis of abdominal emergencies, even with atypical etiologies.
  • Demonstrates the efficacy of laparoscopic surgery for managing such rare gastrointestinal emergencies.

More Related Videos

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy03:56

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

2.7K

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....
841
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
25
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:
1.1K
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...
28
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...
40
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...
30