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Published on: July 21, 2023
Perforated mesenteric Meckel's diverticulum: Case report
Basem AlShareef1, Orjuana Khudari2
1Department Of General Surgery, College Of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia; Al-Noor Specialist Hospital, Department of General Surgery, Makkah, Saudi Arabia.
Abstract:
Meckel's diverticulum is a common congenital anomaly found in ∼2% of the population, its classic location aiding in its diagnostic criteria, is the anti-mesenteric side of the distal ileum. However, reported cases of Meckel's diverticula found on the mesenteric side, are present but rare. Here we report a case of a perforated mesenteric Meckel's diverticulum with synchronised anti-mesenteric Meckel's diverticulum, in a 70-year-old male, initially misdiagnosed as left strangulated inguinal hernia. The purpose behind this paper is to raise clinical suspicion regarding this rare pathology, so that timely diagnosis and management could be carried out.
Insights
Meckel
Area of Science:
- Gastroenterology and Surgical Case Reports
Background:
- Meckel's diverticulum is a common congenital anomaly, typically located on the anti-mesenteric side of the ileum.
- Mesenteric Meckel's diverticula are rare, posing diagnostic challenges.
Observation:
- A case of a 70-year-old male with a perforated mesenteric Meckel's diverticulum and a concurrent anti-mesenteric Meckel's diverticulum.
- The patient was initially misdiagnosed with a strangulated inguinal hernia.
Findings:
- The study highlights a rare instance of a perforated mesenteric Meckel's diverticulum.
- Synchronous anti-mesenteric Meckel's diverticulum was also present in this case.
Implications:
- This case underscores the importance of considering rare Meckel's diverticulum presentations.
- Raising clinical suspicion can lead to earlier diagnosis and improved management of this uncommon pathology.
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