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Perforated mesenteric Meckel's diverticulum in an adult: a real variant?

M L Gueye1, O Thiam2, M Seck2

  • 1Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal laminegueye269@gmail.com.

Journal of Surgical Case Reports
|September 3, 2015
PubMed

Insights

A rare case of perforated Meckel's diverticulum on the mesenteric edge was found in an adult. This life-threatening gastrointestinal anomaly required surgical intervention and further management for persistent peritonitis.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Abdominal Surgery

Background:

  • Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract.
  • Typically located on the anti-mesenteric border of the ileum, mesenteric location is rare.
  • Complications include perforation, posing a significant risk to patient health.

Observation:

  • A case report details a perforated Meckel's diverticulum found on the mesenteric edge of the ileum in an adult.
  • The diverticulum was located 60 cm from the ileocecal junction, with 400 ml of seropurulent peritoneal fluid present.
  • Surgical exploration revealed the anomaly and associated peritoneal fluid.

Findings:

  • The patient underwent segmental ileal resection and end-to-end anastomosis.
  • Postoperative complications included persistent peritonitis.
  • Revision surgery was successfully performed to address the peritonitis.

Implications:

  • This case highlights the importance of considering rare presentations of Meckel's diverticulum.
  • Mesenteric Meckel's diverticulum perforation can lead to severe complications like peritonitis.
  • Prompt surgical management and postoperative care are crucial for favorable outcomes.

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