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Meckel's diverticulitis: a rare entity of Meckel's diverticulum
Chee S Wong1, Leanne Dupley2, Haren N Varia3
1Department of General Surgery, Blackpool Teaching Hospital NHS Foundation Trust, Blackpool, UK s1220738@ed-alumni.net.
Journal of Surgical Case Reports
|January 9, 2017
Summary
Meckel's diverticulitis, often asymptomatic, can mimic appendicitis. This case highlights the diagnostic challenges and surgical management of this rare congenital abnormality.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Congenital Abnormalities
Background:
- Meckel's diverticulum is the most common congenital small intestine abnormality, arising from incomplete vitelline duct closure.
- Typically located near the ileocecal valve, it is usually asymptomatic but can cause complications.
- Complications include hemorrhage, obstruction, and Littre's hernia, posing diagnostic challenges.
Observation:
- A 59-year-old male presented with symptoms suggestive of appendicitis.
- Surgical investigation revealed Meckel's diverticulitis as the cause of acute abdomen.
- This represents a rare clinical presentation of Meckel's diverticulum.
Findings:
- The case underscores the diagnostic difficulties in identifying Meckel's diverticulitis, especially when presenting as acute abdomen.
- Ectopic gastric mucosa can lead to Meckel's diverticulitis complications.
- Literature review compared various surgical approaches for management.
Implications:
- Accurate diagnosis and timely surgical intervention are crucial for managing Meckel's diverticulitis.
- Understanding rare presentations is vital for surgical training and patient care.
- Further research into optimal surgical strategies may improve outcomes.
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