Perforation of Meckel’s Diverticulum by Chicken Wishbone – A Case Report and Review of Literature.

Perforated Meckel's diverticulum by chicken bone associated with terminal ilial volvulus in a child, a case report

“…In most of the previously reported cases, the diverticulum along with a segment of adjoining bowel was resected and end-to-end anastomosis was done during exploratory Laparotomy. 9 Our patient was managed by wedge resection of the diverticulum, resection of the gangrenous terminal ilium, cecum, and appendix with an Ileo-colonic anastomosis. The volvulus-which was distal to the perforated Meckel's diverticulum -is presumed to be related to the chicken bone pressing on the adjacent mesentery and forming an adhesional band with ilium.…”

“…Fish bone was the commonest foreign body (45%) but perforation due to chicken bone was very rare with only 7 cases reported in English literature, including on epediatric case. 9 Of those 79 case reports, only 24 cases were among pediatric population (<18years). There was a significant male preponderance (82.3%) and the youngest patient was 1 year old.…”

“…After we searched the literature, we found only 4 children in whom such diagnosis was made before operation, all of them were known to have ingested foreign bodies (button battery and metallic balls). 9 Management of complicated Meckel's diverticulum consists of diverticulectomy in the majority of cases, along with antibiotics and peritoneal irrigation in case of localized or generalized peritonitis. 10 Surgical intervention should not be delayed by supplementary radiographic imaging in patients with peritonitis.…”