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Perforated Meckel's diverticulitis secondary to a corn kernel obstruction of lumen in an elderly patient

Isidora De la Cruz Garcia1, Kimberley Tan1, Andrew Riddell1

  • 1General Surgery, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia.

Journal of Surgical Case Reports
|June 23, 2021
PubMed

Insights

Perforation of Meckel

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's diverticulum (MD) is the most common congenital gastrointestinal malformation.
  • Complications typically include bleeding, obstruction, intussusception, and neoplasm.
  • Perforation due to diverticulitis is rare, often linked to foreign bodies.

Observation:

  • A case of an elderly male presenting with right iliac fossa pain and elevated inflammatory markers.
  • CT scan suggested Meckel's diverticulitis.
  • Surgical intervention revealed a perforated Meckel's diverticulum containing a corn kernel.

Findings:

  • The patient underwent a successful laparoscopic-to-open small bowel resection and anastomosis.
  • Histopathology confirmed a perforated Meckel's diverticulum with a phytobezoar (corn kernel) at its base.
  • No ectopic gastric or pancreatic tissue was identified.

Implications:

  • Symptomatic and perforated Meckel's diverticulum secondary to a phytobezoar is exceptionally rare in the elderly.
  • Highlights the importance of clinical suspicion for abdominal pain in all age groups.
  • Timely diagnosis is crucial to prevent increased morbidity and mortality in elderly patients with Meckel's diverticulum complications.

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