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A case of retroperitoneal abscess: A rare complication of Meckel's diverticulum
1Department of Pediatric, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Republic of Korea.
Introduction:
The frequent complications of Meckel's diverticulum are hemorrhage, intestinal obstruction, and inflammation, and perforation. The presentation as a retroperitoneal abscess as complications of Meckel's diverticulum is a very rare clinical entity.
Presentation Of Case:
We report a rare case of perforated Meckel's diverticulum with retroperitoneal abscess. A 31-year-old presented with a half-hour history of severe epigastric pain and diffuse periumbilical pain. Abdominal computed tomography (CT) revealed pneumoperitoneum and retroperitoneal abscesses which air, with diffuse infiltration of the small bowel mesentery and a tubular structure that originated in the ileum at the umbilicus level. Preoperative diagnosis was perforation of Meckel's diverticulum or small bowel perforation. We performed an approximate 10-cm segmental resection of the ileum that contained the Meckel's diverticulum.
Discussion:
Retroperitoneal abscesses are rare complications of Meckel's diverticulum and are associated with its perforation.
Conclusion:
The complications of Meckel's diverticulum should be kept in mind in the differential diagnosis of retroperitoneal abscesses.
Insights
Perforated Meckel
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Meckel's diverticulum frequently causes hemorrhage, obstruction, inflammation, and perforation.
- Retroperitoneal abscess is an exceptionally rare complication of Meckel's diverticulum.
Purpose of the Study:
- To report a rare case of perforated Meckel's diverticulum presenting as a retroperitoneal abscess.
- To highlight the importance of considering Meckel's diverticulum in the differential diagnosis of retroperitoneal abscesses.
Main Methods:
- A case report of a 31-year-old patient presenting with severe abdominal pain.
- Diagnostic imaging included abdominal computed tomography (CT) revealing pneumoperitoneum and retroperitoneal abscesses.
- Surgical intervention involved segmental ileum resection of the affected Meckel's diverticulum.
Main Results:
- The patient presented with acute epigastric and periumbilical pain.
- CT scan confirmed pneumoperitoneum, retroperitoneal abscesses, and mesenteric infiltration.
- A perforated Meckel's diverticulum was identified as the cause.
Conclusions:
- Retroperitoneal abscesses are rare but significant complications of Meckel's diverticulum perforation.
- Meckel's diverticulum should be included in the differential diagnosis for patients presenting with retroperitoneal abscesses.
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