Perforated Meckel diverticulitis: Diagnostic challenges and surgical outcomes
Meckel's diverticulum, a congenital anomaly of the omphalomesenteric duct, is a rare cause of acute abdomen and poses significant diagnostic challenges due to its variable presentation and complications such as perforation. We present the case of a 19-year-old male with a 24-hour history of rig...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324013311 |
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| author | Imen Ben Ismail, MD Mohamed Karim Tounsi, MD Mohamed Boujemaa, MD Hakim Zenaidi, MD Saber Rebii, MD Ayoub Zoghlami, MD |
| author_facet | Imen Ben Ismail, MD Mohamed Karim Tounsi, MD Mohamed Boujemaa, MD Hakim Zenaidi, MD Saber Rebii, MD Ayoub Zoghlami, MD |
| author_sort | Imen Ben Ismail, MD |
| collection | DOAJ |
| description | Meckel's diverticulum, a congenital anomaly of the omphalomesenteric duct, is a rare cause of acute abdomen and poses significant diagnostic challenges due to its variable presentation and complications such as perforation. We present the case of a 19-year-old male with a 24-hour history of right iliac fossa pain progressing to generalized abdominal tenderness. Laboratory results showed leukocytosis and elevated C-reactive protein, while CT imaging suggested pneumoperitoneum and an inflamed Meckel diverticulum. Laparoscopic exploration, followed by conversion to laparotomy, confirmed a perforated Meckel diverticulum, which was resected with an uneventful recovery. This case highlights the importance of including Meckel's diverticulum in the differential diagnosis of acute abdomen in young patients, emphasizing the utility of CT imaging and the need for prompt surgical intervention to achieve favorable outcomes. |
| format | Article |
| id | doaj-art-79789b6b872d4c3fa8505a00bdf41c39 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-79789b6b872d4c3fa8505a00bdf41c392025-01-18T05:03:57ZengElsevierRadiology Case Reports1930-04332025-03-0120314171421Perforated Meckel diverticulitis: Diagnostic challenges and surgical outcomesImen Ben Ismail, MD0Mohamed Karim Tounsi, MD1Mohamed Boujemaa, MD2Hakim Zenaidi, MD3Saber Rebii, MD4Ayoub Zoghlami, MD5Corresponding author.; Department of General Surgery, Trauma and Burns Center, University of Tunis El Manar, Ben Arous, TunisiaDepartment of General Surgery, Trauma and Burns Center, University of Tunis El Manar, Ben Arous, TunisiaDepartment of General Surgery, Trauma and Burns Center, University of Tunis El Manar, Ben Arous, TunisiaDepartment of General Surgery, Trauma and Burns Center, University of Tunis El Manar, Ben Arous, TunisiaDepartment of General Surgery, Trauma and Burns Center, University of Tunis El Manar, Ben Arous, TunisiaDepartment of General Surgery, Trauma and Burns Center, University of Tunis El Manar, Ben Arous, TunisiaMeckel's diverticulum, a congenital anomaly of the omphalomesenteric duct, is a rare cause of acute abdomen and poses significant diagnostic challenges due to its variable presentation and complications such as perforation. We present the case of a 19-year-old male with a 24-hour history of right iliac fossa pain progressing to generalized abdominal tenderness. Laboratory results showed leukocytosis and elevated C-reactive protein, while CT imaging suggested pneumoperitoneum and an inflamed Meckel diverticulum. Laparoscopic exploration, followed by conversion to laparotomy, confirmed a perforated Meckel diverticulum, which was resected with an uneventful recovery. This case highlights the importance of including Meckel's diverticulum in the differential diagnosis of acute abdomen in young patients, emphasizing the utility of CT imaging and the need for prompt surgical intervention to achieve favorable outcomes.http://www.sciencedirect.com/science/article/pii/S1930043324013311Meckel's diverticulumAbdominal painPerforationPeritonitis |
| spellingShingle | Imen Ben Ismail, MD Mohamed Karim Tounsi, MD Mohamed Boujemaa, MD Hakim Zenaidi, MD Saber Rebii, MD Ayoub Zoghlami, MD Perforated Meckel diverticulitis: Diagnostic challenges and surgical outcomes Radiology Case Reports Meckel's diverticulum Abdominal pain Perforation Peritonitis |
| title | Perforated Meckel diverticulitis: Diagnostic challenges and surgical outcomes |
| title_full | Perforated Meckel diverticulitis: Diagnostic challenges and surgical outcomes |
| title_fullStr | Perforated Meckel diverticulitis: Diagnostic challenges and surgical outcomes |
| title_full_unstemmed | Perforated Meckel diverticulitis: Diagnostic challenges and surgical outcomes |
| title_short | Perforated Meckel diverticulitis: Diagnostic challenges and surgical outcomes |
| title_sort | perforated meckel diverticulitis diagnostic challenges and surgical outcomes |
| topic | Meckel's diverticulum Abdominal pain Perforation Peritonitis |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324013311 |
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