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Meckel's Diverticulum Perforation by Foreign Body: A Case Report.
José Roberto Alves1,2, Gustavo Busch Justino1, Leonardo Busch Justino1
1Diseases of the Abdominal Wall and Digestive System Research Group of the Federal University of Santa Catarina, Florianópolis, SC, Brazil.
Bulletin of Emergency and Trauma
|June 21, 2021
Summary
A rare case of Meckel's diverticulum perforated by a chicken bone highlights its potential to mimic appendicitis. Early diagnosis and surgical intervention are crucial for successful outcomes in such gastrointestinal emergencies.
Area of Science:
- Gastroenterology
- Surgical Case Report
Background:
- Meckel's diverticulum is the most common congenital gastrointestinal anomaly.
- While often asymptomatic, it can lead to complications like obstruction, inflammation, bleeding, and perforation.
Observation:
- A 24-year-old male presented with abdominal pain initially diagnosed as appendicitis.
- Laparotomy revealed a perforated Meckel's diverticulum caused by a chicken bone, with a normal appendix.
Findings:
- The patient underwent successful diverticulectomy and enteroanastomosis.
- Recovery was uneventful, with discharge after 5 days.
Implications:
- This case underscores the importance of considering Meckel's diverticulum in the differential diagnosis of acute abdominal pain, especially when symptoms mimic appendicitis.
- Detailed clinical history and intraoperative examination of the small bowel are vital for diagnosing rare complications of Meckel's diverticulum.
