Volume 29, Issue 155, January 2025

Acute Meckel’s diverticulum with perfotation and segmental bowel ischemia: Case report

Mona Alghamdi¹, Nasir Khan², Yasmin Taha Almudawah³, Razan Hussain Alomar⁴

¹General Surgery Resident, General Surgery Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia
²General Surgery Consultant, General Surgery Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia
³General Surgery Resident, General Surgery Department, King Fahad Medical City, Riyadh, Saudi Arabia
⁴Emergency Medicine Resident, King Abdulaziz Medical City, Riyadh, Saudi Arabia

ABSTRACT

The MD is among the most common congenital GI tract defects that are found, it’s rarely complicated with perforation which seriously impair the ability to diagnose the illness. Intussusception, inflammation, bleeding, intestinal obstruction and volvulus are other frequent complications of MD. Sometimes, it presents similarly to acute appendicitis. We present a case of a 30-year-old female came to emergency department with 12 hours constant generalized abdominal pain that started suddenly for the first time in her life, colicky in nature, associated with loss of appetite, nausea, 4 episodes of non-bilious vomiting and watery non-bloody diarrhea. After imaging, the patient underwent diagnostic laparoscopy which changed to exploratory open laparotomy, which revealed a perforated MD. This instance emphasizes how crucial it is to rule out MD as a possible diagnosis for patients who exhibit sudden, severe abdominal discomfort. An early identification of a perforated MD might be aided by a comprehensive approach to the history and physical examination in addition to imaging.

Keywords: Meckel’s diverticulum, bowel obstruction, acute abdominal pain, case report

Medical Science, 2025, 29, e17ms3519

PDF

DOI: https://doi.org/10.54905/disssi.v29i155.e17ms3519

Published: 25 January 2025