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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
PubMed

Insights

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.
Keywords:
Acute abdomenEmergency medicineMeckel's diverticulumPerforation

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