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Perforation of Meckel's diverticulum with enteroliths
Takeshi Nishikawa1,2, Yoshiki Takei3, Nelson H Tsuno4
1Department of Surgery, The Fraternity Memorial Hospital, 2-1-11 Yokoami, Sumida-ku, Tokyo, 130-8587, Japan. takn-tky@umin.ac.jp.
Clinical Journal of Gastroenterology
|July 17, 2015
Summary
A rare case of Meckel
Area of Science:
- Gastroenterology
- Surgical Case Report
Background:
- Meckel's diverticulum perforation with enteroliths is a rare surgical complication.
- Accurate preoperative diagnosis is crucial for effective management.
Purpose of the Study:
- To report a case of Meckel's diverticulum perforation with enteroliths.
- To highlight the diagnostic utility of computed tomography (CT) enterography.
Main Methods:
- Case presentation of a 46-year-old male with acute abdominal pain.
- Preoperative diagnosis using abdominal radiography and computed tomography (CT) enterography.
- Surgical intervention involving resection of the perforated Meckel's diverticulum.
Main Results:
- CT enterography accurately identified the perforated Meckel's diverticulum with an enterolith, free air, and inflammation.
- Emergency surgery confirmed the diagnosis and involved successful diverticulectomy.
- The patient experienced an uneventful postoperative recovery.
Conclusions:
- Computed tomography (CT) enterography is highly effective for diagnosing Meckel's diverticulum perforation.
- CT enterography aids in the preoperative assessment of acute abdominal conditions.
- Early and accurate diagnosis facilitates timely surgical intervention and improves patient outcomes.
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