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Meckel's diverticulum containing enterolith mimicking acute appendicitis

ZakaUllah Jan1, Nisar Ahmed1, Naila Aziz1

  • 1Khyber Teaching Hospital, Peshawar, Pakistan.

International Journal of Surgery Case Reports
|August 16, 2022
PubMed
Abstract

Insights

A rare case of Meckel's diverticulum with an enterolith mimicked acute appendicitis. Surgical resection was successful, highlighting the importance of considering this congenital anomaly in differential diagnoses.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Congenital Abnormalities

Background:

  • Meckel's diverticulum is a common congenital abnormality of the gastrointestinal tract, representing a remnant of the vitello-intestinal duct.
  • It is a well-known entity in pediatric surgery and gastroenterology.

Observation:

  • A male patient presented with symptoms consistent with acute appendicitis, including peri-umbilical and right iliac fossa pain.
  • Intraoperative findings revealed a Meckel's diverticulum containing an enterolith, which had been clinically misdiagnosed.

Findings:

  • The presence of an enterolith within a Meckel's diverticulum is an uncommon occurrence.
  • This specific case highlights the potential for Meckel's diverticulum to present atypically, mimicking more common surgical emergencies.

Implications:

  • Surgeons must maintain a high index of suspicion for Meckel's diverticulum, especially when clinical presentation is suggestive of acute appendicitis.
  • Accurate preoperative diagnosis and intraoperative awareness are crucial for effective management of such rare gastrointestinal anomalies.
Keywords:
Acute appendicitisCase reportEnterolithMeckel's diverticulum

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