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Perforated Meckel's Diverticulum in a 22-Year-Old Male: A Case Report
Munira Abdul Aziz1, Hamza Shakil2, Haris Mahmood2
1Department of Surgery Dow University Hospital Karachi Pakistan.
Clinical Case Reports
|August 8, 2026
Summary
Perforated Meckel
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Imaging
Background:
- Meckel's diverticulum (MD) is the most common congenital gastrointestinal anomaly.
- Complications arise in 4%-7% of cases, with perforation being rare but critical.
- Perforated MD can mimic other acute abdominal conditions, posing diagnostic challenges.
Purpose of the Study:
- To highlight the diagnostic difficulties of perforated Meckel's diverticulum.
- To emphasize the importance of early recognition and surgical management in acute abdomen cases.
Main Methods:
- Case report of a 22-year-old male with acute abdominal symptoms.
- Clinical evaluation, radiographic evidence (pneumoperitoneum), and exploratory laparotomy.
- Surgical intervention: diverticulectomy and limited small bowel resection.
Main Results:
- Exploratory laparotomy revealed an incidentally found perforated Meckel's diverticulum.
- Histopathology confirmed a true diverticulum.
- The patient experienced an uneventful postoperative recovery.
Conclusions:
- Perforated Meckel's diverticulum presents a diagnostic challenge, often mimicking other surgical emergencies.
- Prompt surgical intervention is vital for reducing morbidity in patients with acute abdomen.
- Consideration of perforated MD is crucial in young adults with acute abdominal presentations.
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