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Perforated Meckel's diverticulum in a neonate

J T Yeh1, H S Lai, Y C Duh

  • 1Department of Surgery, National Taiwan University Hospital, Taipei, ROC.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|August 1, 1996
PubMed
Summary

This case report details a perforated Meckel's diverticulum in an 8-day-old infant, the youngest recorded at the hospital. The condition, presenting as bilious vomiting, was successfully treated with surgery.

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Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • It is the most common congenital malformation of the gastrointestinal tract.

Observation:

  • An eight-day-old male infant presented with a 3-day history of bilious vomiting and abdominal distension.
  • The patient was the youngest to be diagnosed with Meckel's diverticulum at National Taiwan University Hospital.

Findings:

  • Emergency laparotomy revealed a perforated Meckel's diverticulum.
  • The resected specimen lacked ectopic tissue.
  • A narrow lumen and base were implicated in impaired self-emptying, leading to inflammation and perforation.

Implications:

  • This case highlights the youngest presentation of Meckel's diverticulum requiring surgical intervention.
  • Understanding the anatomical factors contributing to perforation is crucial for pediatric surgical management.
  • Early diagnosis and surgical treatment are vital for favorable outcomes in infants with complicated Meckel's diverticulum.

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