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Meckel's Diverticulitis With Localized Perforation: A Case Report and Literature Review
Morgan A Hatlovic1, Kasen Anzelc1, Reema Tominna1
1Surgery, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Cureus
|March 11, 2025
Summary
Meckel's diverticulum, a common congenital anomaly, can cause rare, difficult-to-diagnose complications like perforated diverticulitis. This case highlights a patient initially presenting with appendicitis-like symptoms, later diagnosed with a perforated Meckel's diverticulum.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Pediatric Surgery
Background:
- Meckel's diverticulum is the most frequent congenital abnormality of the gastrointestinal tract.
- While common in infants, complications are rare and often present atypically in adults.
- Nonspecific symptoms of Meckel's diverticulum complications mimic other abdominal pathologies, complicating diagnosis.
Observation:
- A case study involving an adult patient presenting with symptoms suggestive of acute appendicitis.
- The patient's condition was ultimately diagnosed as Meckel's diverticulitis with localized perforation.
- This presentation underscores the diagnostic challenges associated with Meckel's diverticulum complications in adults.
Findings:
- Meckel's diverticulitis with perforation can mimic acute appendicitis, particularly in adults.
- Preoperative diagnosis of complicated Meckel's diverticulum is challenging due to overlapping clinical presentations.
- Prompt surgical intervention is crucial for managing perforated Meckel's diverticulum.
Implications:
- Highlights the importance of considering Meckel's diverticulum in the differential diagnosis of acute abdominal pain, even with appendicitis-like symptoms.
- Emphasizes the need for advanced imaging or diagnostic strategies when typical presentations are absent.
- Contributes to the understanding of rare gastrointestinal anomalies and their complex presentations in surgical practice.
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