A Perforated Meckel's Diverticulum Simulating Appendicular Peritonitis : Case report : Case Report

BACHAR Amine

doi:10.58372/2835-6276.1143

Authors

BACHAR Amine

DOI:

https://doi.org/10.58372/2835-6276.1143

Keywords:

Meckel's diverticulum, Perforated Meckel's diverticulum, Appendicitis

Abstract

Meckel's diverticulum results from the partial persistence of the omphalomesenteric duct and its complications are rare. Diagnosis is often made intraoperatively.

We present the case of a 46-year-old patient admitted to the emergency ward with symptoms suggestive of peritonitis. Clinical examination revealed tenderness in the right iliac fossa. Abdominal and pelvic ultrasound revealed a swollen appendix located laterocecally, measuring 9.2 mm in maximum thickness, with an associated oval collection containing finely echogenic contents measuring 32 × 14 mm, without evidence of effusion.During surgery, a perforated Meckel's diverticulum was discovered as the cause of the peritonitis. The patient underwent segmental bowel resection with ileostomy formation. Postoperative recovery was uneventful, and the patient was discharged on the third postoperative day. Anatomopathological examination of the surgical specimen showed inflammatory changes without signs of malignancy. One month after the operation, the patient underwent ileal continuity restoration.

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