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.

PubMed

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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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