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A rare case of perforated Meckle's diverticulitis: a case report

Kirsten R Carlaw1, Chandika Liyanage1

  • 1General Surgery Department, Dubbo Base Hospital, Myall Street, Dubbo, NSW 2830, Australia.

Journal of Surgical Case Reports
|May 20, 2024
PubMed

Insights

Meckel's diverticulum, a rare adult anomaly from incomplete duct closure, can mimic appendicitis. This case highlights a perforated Meckel's diverticulum with ectopic gastric tissue, managed surgically.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Embryology

Background:

  • Meckel's diverticulum is the most common congenital anomaly of the small intestine, resulting from incomplete obliteration of the vitelline duct.
  • While typically asymptomatic, symptomatic Meckel's diverticulum presents with diverse clinical manifestations, posing diagnostic challenges.

Observation:

  • A 47-year-old male presented with symptoms suggestive of appendicitis.
  • Imaging and laparoscopy revealed a perforated Meckel's diverticulum with fecaliths.
  • Histopathology confirmed the presence of ectopic gastric tissue within the diverticulum.

Findings:

  • The patient's presentation mimicked acute appendicitis, a common diagnostic pitfall for Meckel's diverticulum.
  • Perforation and the presence of fecaliths complicated the clinical picture.
  • Ectopic gastric tissue, a rare finding, was identified on histopathological examination.

Implications:

  • This case underscores the importance of considering Meckel's diverticulum in the differential diagnosis of appendicitis-like symptoms in adults.
  • Surgical intervention, including resection of the diverticulum and appendectomy, is the definitive management.
  • The presence of ectopic gastric tissue highlights potential complications and the need for thorough histopathological analysis.
Keywords:
Meckle’s diverticulitisMeckle’s diverticulumvitelline duct

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