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A case of perforation of Meckel's diverticulum with enterolith

Tomonari Shimagaki1, Kozo Konishi2, Koto Kawata2

  • 1Department of Surgery, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital, 1-9-6 Senda-machi, Naka-ku, Hiroshima, 730-8619, Japan. tomo_s@surg2.med.kyushu-u.ac.jp.

Surgical Case Reports
|July 8, 2020
PubMed
Abstract

Insights

Perforation of Meckel

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Meckel's diverticulum perforation with enteroliths is a rare surgical complication.
  • Preoperative computed tomography (CT) may not accurately diagnose this condition.

Purpose of the Study:

  • To report a case of Meckel's diverticulum perforation with an enterolith.
  • To highlight diagnostic challenges and emphasize clinical examination.

Main Methods:

  • Case presentation of a 16-year-old male with acute abdominal pain.
  • Diagnostic imaging including radiography and CT scan.
  • Emergency surgical exploration and resection of the perforated Meckel's diverticulum.

Main Results:

  • A solitary enterolith was found within the perforated Meckel's diverticulum.
  • The patient was initially suspected of having appendicitis or Meckel's diverticulitis.
  • Postoperative recovery was uneventful after surgical intervention.

Conclusions:

  • Clinicians must consider Meckel's diverticulum perforation in differential diagnoses.
  • Thorough patient examination and appropriate investigations are crucial for timely treatment.
  • Prompt surgical intervention is indicated for perforated Meckel's diverticulum.
Keywords:
EnterolithMeckel’s diverticulumPerforation

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