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Meckel's Diverticulum With Perforation

Mohamed Ahmed1, Rasha Saeed2, Ahmed Allawi3

  • 1Surgery, University of California, Riverside, Riverside, USA.

Cureus
|September 16, 2024
PubMed

Insights

Meckel's diverticulum, a congenital defect, can rarely mimic acute appendicitis. Intraoperative findings revealed a perforated Meckel's diverticulum in a patient presenting with appendicitis-like symptoms.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Congenital Abnormalities

Background:

  • Meckel's diverticulum (MD) is a common congenital anomaly of the small intestine.
  • It arises from incomplete obliteration of the vitellointestinal duct.
  • MD commonly presents with gastrointestinal bleeding, obstruction, or inflammation.

Observation:

  • A 38-year-old male presented with symptoms mimicking acute appendicitis.
  • Clinical examination and radiological findings were consistent with perforated appendicitis.
  • Intraoperative findings revealed a perforated Meckel's diverticulum.

Findings:

  • Meckel's diverticulum can present atypically with perforation.
  • The presentation can be indistinguishable from acute appendicitis with perforation.

Implications:

  • Highlights the importance of considering Meckel's diverticulum in the differential diagnosis of acute abdominal pain.
  • Emphasizes the role of intraoperative findings in diagnosing rare presentations of common conditions.
  • Suggests a need for high index of suspicion for MD in cases of suspected appendiceal perforation.
Keywords:
generalized abdominal painnausea and vomitingperforated meckel's diverticulumrare cause of acute abdominal painruptured appendicitis

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