Extracorporeal laparoscopically assisted resection of a perforated Meckel's diverticulum due to a chicken bone

Ioannis Nikolopoulos1, Eleni Ntakomyti1, Ahmed El-Gaddal2

  • 1Department of General Surgery, Lewisham and Greenwich NHS Trust, London, UK.

BMJ Case Reports
|February 28, 2015
PubMed

Insights

Meckel's diverticulum, a common congenital anomaly, can perforate due to foreign objects like chicken bones, necessitating surgical intervention. This case highlights successful laparoscopic-assisted resection for such a rare complication.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Congenital Abnormalities

Background:

  • Meckel's diverticulum is the most frequent congenital anomaly of the small intestine.
  • Complications, though uncommon, can necessitate emergency surgery and bowel resection.
  • Foreign body perforation, particularly by chicken bones, is a rare but serious presentation.

Observation:

  • A rare case of Meckel's diverticulum perforation caused by a chicken bone was observed.
  • The patient presented with acute symptoms requiring surgical intervention.
  • Laparoscopic techniques are increasingly utilized for managing Meckel's diverticulum complications.

Findings:

  • The perforation was successfully treated with a laparoscopic-assisted extracorporeal resection.
  • This approach allowed for the removal of the affected small bowel segment containing the chicken bone.
  • The minimally invasive technique facilitated a potentially faster recovery.

Implications:

  • This case demonstrates the feasibility and effectiveness of laparoscopic-assisted surgery for rare Meckel's diverticulum complications.
  • It underscores the importance of considering foreign bodies in the differential diagnosis of acute abdominal conditions.
  • Further research into laparoscopic approaches for complex diverticular diseases is warranted.