A Case Report on Perforated Meckel’s Diverticulitis Mimicking Acute Appendicitis

Abstract

Meckel's diverticulum, the most common congenital anomaly of small bowel although usually silent, can cause complications like intestinal obstruction, bleeding, diverticulitis, perforation etc. We report a case, which presented with acute onset of abdominal pain which was clinically and sonographycally diagnosed as acute appendicitis. Abdomen was explored with a midline incision, as X-ray abdomen showed free gas under diaphragm and a perforated Meckel's diverticulum was found which was managed by resection of the same with adjacent ileum and end to end anastomosis. For preoperative diagnosis of Meckel's diverticulitis with perforation clinical suspicion should be high, especially when diffuse peritonitis and gas under right dome of diaphragm is seen in X-ray of abdomen.

Histopathological Evaluationof Appendectomy Specimens in a Tertiary Care Hospital

“…However, it may cause bleeding, obstruction, inflammation, or perforation. 23 In our study 0.4% of cases had Meckel diverticulum.…”

Spectrum of Omphalomesenteric Duct Related Anomalies and Their Surgical Management in Children

“…In our study, all cases of Meckel’s diverticulum involved in intussusception were found to be of this morphology. Inflamed Meckel’s diverticulum may present with abdominal pain mimicking simple or complicated appendicitis [ 12 , 13 ]. In our study, there were nine cases that were initially diagnosed as acute appendicitis but per-operatively proved to be Meckel’s diverticulitis.…”