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Published on: September 11, 2018
Perforation of Meckel's diverticulum with a foreign body mimicking acute appendicitis: A rare complication
Amaar Aamery1, Ruqaiya Al-Shehhi1, Kamran Malik1
1Department of General Surgery, Sultan Qaboos University Hospital, Sultanate of Oman.
Abstract:
Meckel's diverticulum mimicking acute appendicitis is a very rare condition encountered in practice. MD is asymptomatic in most of cases and only about 4 to16% of cases develop complications. Perforation of MD by a foreign body is even rarer being only reported in few cases in the literature. The surgical management might be wedge resection or segmental resection and primary anastomoses depending on the intra operative findings. We report a case with foreign body impaction in MD with perforation mimicking acute appendicitis.
Insights
A rare case of Meckel
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Meckel's diverticulum (MD) is a congenital anomaly of the small intestine.
- Most cases of MD are asymptomatic, with complications arising in only 4-16%.
Observation:
- This report details a rare instance of a foreign body lodged within Meckel's diverticulum.
- The foreign body caused perforation, leading to symptoms that mimicked acute appendicitis.
Findings:
- Foreign body impaction in Meckel's diverticulum is exceptionally rare.
- Perforation of MD by a foreign body presents a diagnostic challenge, often mimicking other acute abdominal conditions.
Implications:
- Accurate diagnosis and surgical intervention are crucial for managing perforated Meckel's diverticulum.
- This case highlights the importance of considering rare differential diagnoses in acute abdominal presentations.
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