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Published on: October 11, 2018
A rare case of chicken wishbone in Meckel's diverticulum causing partial perforation and diverticulitis
Irada Mamukadze1, Sean Park1, Olivia Flessland1
1Department of General Surgery, University of Michigan Health-Sparrow, 1215 E. Michigan Avenue, Lansing, MI 48912, United States.
Abstract:
Meckel's diverticulum (MD), a rare congenital abnormality, can lead to issues like diverticulitis and bleeding. Foreign bodies in MD are even rarer, causing vague symptoms and perforation, requiring urgent surgery. This case report highlights a patient with a foreign body in MD, focusing on clinical presentation and management. A 55-year-old male presented with abdominal pain, nausea, and vomiting. Computed tomography scan revealed a foreign body perforating the small bowel. Exploratory laparotomy found a partially perforated MD with a foreign body. Diverticulectomy was performed, and the patient recovered, discharged the next day. Foreign bodies in MD are exceedingly rare and can cause inflammation, infection, and perforation, mimicking appendicitis. Diagnosis is challenging due to nonspecific symptoms, with imaging and clinical evaluation crucial. Surgical intervention, like diverticulectomy, is primary. Early diagnosis and prompt surgery are critical in managing MD complicated by foreign bodies, ensuring favorable outcomes. This report underscores symptom recognition and effective management strategies.
Insights
Foreign bodies in Meckel
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Meckel's diverticulum (MD) is a rare congenital anomaly.
- Foreign bodies within MD are exceptionally rare, often presenting with vague symptoms.
Observation:
- A 55-year-old male presented with abdominal pain, nausea, and vomiting.
- CT scan revealed a foreign body perforating the small bowel.
- Laparotomy confirmed a partially perforated MD with an embedded foreign body.
Findings:
- Surgical management involved diverticulectomy.
- The patient experienced a rapid recovery and was discharged the following day.
Implications:
- Foreign bodies in MD can lead to inflammation, infection, and perforation, mimicking other conditions like appendicitis.
- Early diagnosis and prompt surgical intervention are crucial for favorable outcomes.
- This case highlights the importance of recognizing subtle symptoms and utilizing imaging for effective management.
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