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[Perforation of Meckel's diverticulum by a fishbone]
P Camacho Baca1, J Caballero-Alvarado1, G Centurión-Jáuregui1
1Antenor Orrego Private University, Piura, Peru.
Khirurgiia
|December 23, 2022
Summary
A fish bone perforated Meckel's diverticulum in an 18-year-old male presenting with abdominal pain. This rare gastrointestinal defect required surgical intervention during an appendectomy.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Pediatric Surgery
Background:
- Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract.
- While often asymptomatic, it can lead to serious complications like obstruction, inflammation, hemorrhage, and perforation.
- Foreign bodies are a known, albeit uncommon, cause of Meckel's diverticulum perforation.
Observation:
- An 18-year-old male presented with acute abdominal pain.
- Initial diagnosis suggested acute appendicitis, leading to a laparoscopic appendectomy.
- Intraoperative findings revealed a perforated Meckel's diverticulum caused by a fish bone.
Findings:
- The patient underwent an incidental appendectomy and segmental ileum resection due to the perforated Meckel's diverticulum.
- Diagnosis of Meckel's diverticulum perforation was confirmed intraoperatively.
- A fish bone was identified as the causative agent of the perforation.
Implications:
- Highlights the importance of considering Meckel's diverticulum in cases of acute abdominal pain, even with a primary diagnosis like appendicitis.
- Underscores the potential for foreign bodies to cause rare but severe gastrointestinal complications.
- Demonstrates the role of intraoperative findings in diagnosing and managing unexpected surgical conditions.
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