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Published on: September 11, 2021
Subacute Meckel's diverticulum perforation
Alberto Robles Méndez Hernández1, Oscar Alejandro Mora-Torres2, Hugolino Andrade Lopez3
1General Surgery, Hospital Angeles Metropolitano, Mexico City, Mexico albertormh01@gmail.com.
Abstract:
Meckel's diverticulum is the most common intestinal congenital defect, its prevalence is 0.2%-4.0% and it occurs more commonly in children younger than 2-year old with intestinal bleeding and abdominal pain. Perforation in the elderly is very rare with no more than 35 articles reported worldwide. Here we report the case of a 62-year-old man who was admitted to hospital with a history of acute abdominal pain with a 20-day onset. The patient was treated with laparotomy and 30 cm ileal resection was performed for an 8×5 cm perforated ileum tumour at 50 from ileocecal valve with a side-to-side mechanical anastomosis for reconstruction. Having morbidity Clavien-Dindo scale I in postsurgical and good outcome in 6-month follow-up. Meckel's diverticulum is an infrequent pathology in paediatric and even rarer in adult population, however, it is always important to keep in mind how to act when is seen either as a finding or as a complication.
Insights
Meckel
Area of Science:
- Gastroenterology
- Surgical Case Report
Background:
- Meckel's diverticulum is the most common congenital intestinal defect.
- Perforation is rare in adults, with few reported cases worldwide.
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