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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
PubMed

Insights

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.
Keywords:
Meckel’s diverticulumacute abdomenfish boneforeign bodyperforated Meckel’s diverticulum

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