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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
PubMed

Insights

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.
Keywords:
abdominal paincongenitalmeckel's diverticulummeckel’s diverticulitisperforated meckel's diverticulum

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