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Preoperative CT diagnosis of perforated Meckel's diverticulitis in a young patient: a case report

Michele Gambardella1, Michele Smaldone1, Francesco Iazzetta2

  • 1Department of Radiology, Pellegrini Hospital, Naples, Italy.

Journal of Basic and Clinical Physiology and Pharmacology
|November 28, 2023
PubMed
Abstract

Insights

Complicated Meckel

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Diagnostic Imaging

Background:

  • Meckel's diverticulum (MD) is a common congenital anomaly, often asymptomatic.
  • Complications such as obstruction, bleeding, or inflammation occur in approximately 4% of cases.
  • Diagnosing MD complications preoperatively is challenging due to overlapping symptoms with other acute abdominal conditions.

Observation:

  • A case of perforated Meckel's diverticulitis was diagnosed preoperatively.
  • The patient presented to the Emergency Department with acute abdominal pain.
  • Abdominal computed tomography (CT) was utilized for diagnosis.

Findings:

  • CT scans demonstrated high sensitivity in diagnosing perforated Meckel's diverticulitis.
  • The imaging findings were crucial for preoperative diagnosis in an emergency setting.

Implications:

  • This case underscores the importance of considering Meckel's diverticulum complications in the differential diagnosis of acute abdominal pain.
  • Abdominal CT is an essential tool for the accurate preoperative diagnosis of complicated Meckel's diverticulum.
  • Early and accurate diagnosis can lead to timely surgical intervention and improved patient outcomes.
Keywords:
Meckel’s diverticulitiscomputed tomographyperforation

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