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[Perforation of the small intestine caused by an enterolith originating from a Meckel's diverticulum]

C Guenier1, J Dryjski, A Gouder

  • 1Service de Chirurgie, Institut Jules Bordet, Bruxelles.

Insights

A rare Meckel's diverticulum complication, enterolithiasis, caused terminal ileum perforation. Imaging confirmed the abdominal lesion, necessitating surgical intervention after recurrent sub-occlusive states.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's diverticulum affects approximately 2% of the population.
  • Complications are uncommon but can be severe.

Observation:

  • A case report details a patient with recurrent sub-occlusive states.
  • The patient presented with terminal ileum perforation attributed to enterolithiasis within a Meckel's diverticulum.

Findings:

  • Enterolithiasis (stone formation) in Meckel's diverticulum led to ileal perforation.
  • Barium follow-through and CT scans revealed the abdominal lesion.

Implications:

  • This case highlights a rare but critical presentation of Meckel's diverticulum.
  • Prompt diagnosis and surgical intervention are crucial for managing such complications.

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