A Perforated Meckel's Diverticulum Simulating Appendicular Peritonitis in a Case Report
A. Fatine, N. Fakhiri, M. Bouali, A. Elbakouri, K. El Hattabi, F. Z. Bensardi, A. Fadil
Asian Journal of Case Reports in Surgery · pp. 712–716 · Published 2 Nov 2021
Abstract
Meckel's diverticulum is the partial persistence of the omphalo mesenteric duct. Its complications are rare. The diagnosis is most often per operative. We report the case of a 54-year-old patient admitted to the emergency room for a peritonitis picture. The clinical examination showed a generalized abdominal tenderness, the abdominal scan showed a tumified appendix in a retro caecal position measuring 12 mm in maximum thickness with a small amount of effusion. During the operation we found a perforated Meckel's diverticulum which is responsible for peritonitis, the patient benefited from a segmental bowel resectionwith an ileostomy.The Post-operative follow-up was normal and the patient was discharged on day 3 postop. The anatomopathological examination of the surgical specimen showed an inflammatory aspect without signs of malignancy, one month after the operation the patient benefited from a restoration of the ileal continuity.
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