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Fishbone perforating Meckel's diverticulum: an acute appendicitis mimicker

Sujan Kafle1, Varsha Chhetri2, Binesh Jha1

  • 1Provincial Hospital Bhadrapur, Nepal.

Journal of Surgical Case Reports
|May 9, 2024
PubMed

Insights

Foreign body perforation of Meckel

Area of Science:

  • Gastroenterology
  • Surgical Case Report
  • Abdominal Surgery

Background:

  • Meckel's diverticulum perforation is a rare condition.
  • It can present with symptoms mimicking acute appendicitis, causing diagnostic difficulties.

Observation:

  • A 45-year-old male presented with symptoms suggestive of acute appendicitis.
  • Intra-operative findings revealed a perforated Meckel's diverticulum containing a fish bone.

Findings:

  • Perforated Meckel's diverticulum is diagnostically challenging.
  • Presence of bilious fluid in the abdominal cavity can be an indicator.

Implications:

  • Consider Meckel's diverticulum perforation in differential diagnosis for right iliac fossa pain.
  • Surgical exploration is crucial for atypical presentations to ensure prompt management.
Keywords:
Meckel’s diverticulumacute appendicitisfishbone perforation

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