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Meckel's Diverticulum Enterolith: A Rare Cause of Perforation and Small Bowel Obstruction Presenting as Acute Abdomen

Ahmad Lf Yasin1, Amal Mj Thabet2, Amna Sadiq1

  • 1Radiology, Hamad Medical Corporation, Doha, QAT.

Cureus
|January 17, 2022
PubMed

Insights

Meckel

Area of Science:

  • Gastroenterology and Radiology
  • Surgical Case Report

Background:

  • Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract.
  • MD enteroliths are rare, but can lead to serious complications.

Observation:

  • A 56-year-old man presented with severe abdominal pain.
  • CT revealed an inflamed structure with central calcification, an air pouch, and small bowel obstruction, connected to the distal ileum.

Findings:

  • Laparotomy confirmed a perforated Meckel's diverticulum with phlegmon formation.
  • Surgical resection of the affected ileal loops with end-to-end anastomosis was performed.

Implications:

  • This case underscores the critical role of preoperative radiological imaging in diagnosing complicated Meckel's diverticulum.
  • Radiologists and surgeons should consider Meckel's diverticulum with enteroliths when encountering calcified lesions in inflamed diverticula near the midline.
Keywords:
enterolithintestinal obstructionmeckel’s diverticulumperforationphlegmon

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