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A Case Report on Fish Bone Perforating Meckel's Diverticulum Mimicking Appendicitis

Jouhar J Kolleri1, Abdirahman M Abdirahman1, Ali Khaliq2

  • 1Clinical Imaging Department, Hamad Medical Corporation, Doha, QAT.

Cureus
|April 4, 2022
PubMed

Insights

A rare case of Meckel's diverticulum perforation caused by a fish bone is presented. This unusual cause of gastrointestinal issues highlights the importance of considering foreign body ingestion in patients with appendicitis-like symptoms.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Medical Imaging

Background:

  • Meckel's diverticulum (MD) is the most common congenital anomaly of the small intestine.
  • While often asymptomatic, MD can present with complications like obstruction, inflammation, or neoplasm.
  • Perforation of MD is rare, typically associated with ingested foreign objects.

Observation:

  • A 24-year-old male presented with symptoms mimicking acute appendicitis.
  • Abdominal CT revealed a foreign body perforating the small bowel.
  • Laparoscopic surgery identified a fish bone as the cause of the perforation.

Findings:

  • Successful laparoscopic removal of a fish bone perforating Meckel's diverticulum.
  • Diagnosis was aided by computed tomography (CT) imaging.
  • The patient's presentation mimicked acute appendicitis, a common differential diagnosis.

Implications:

  • This case underscores the importance of considering Meckel's diverticulum perforation in the differential diagnosis of acute appendicitis.
  • Foreign body ingestion, even sharp objects like fish bones, can lead to rare but serious gastrointestinal complications.
  • Prompt diagnosis and surgical intervention are crucial for managing Meckel's diverticulum perforations.
Keywords:
computed tomographyfish bone perforationmeckel's diverticulumperforated meckel's diverticulumperforation of meckel's diverticulum

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