A RARE CASE OF PERFORATED MECKEL’S DIVERTICULUM”

Abstract

⁽¹⁾Meckel’s diverticulum is the most common abnormality of the gastrointestinal tract. It is present in more than 2% of the global human population. ⁽²⁾Haemorrhage, obstruction and inflammation are the three main possible complications resulting from Meckel’s diverticulum. Spontaneous perforation of Meckel’s diverticulum is very rare and may mimic acute appendicitis. We are reporting the case of a 22 year-old female patient, who presented with a history of five days of acute abdominal pain including on-and-off fever, emesis and vertigo. On physical examination, her abdomen was distended with guarding all over it. A provisional diagnosis of perforated appendicitis with peritonitis or intestinal perforation was made. So CT abdomen with contrast was done. It was reported as sealed perforation with diverticulitis. A diagnostic laparoscopy followed by exploratory laparotomy and subsequent resection and anastomosis of the ileum was performed under general anaesthesia. Meckel’s diverticulitis was confirmed by histopathological findings. This case report is an interesting and unusual case of complications associated with inflamed Meckel’s diverticulum and emphasizes the importance of considering Meckel’s diverticulitis as a differential diagnosis in every patient presenting with acute abdomen.

Keywords:   Meckel’s diverticulum, appendicitis, peritonitis