Perforated Meckel diverticulum

Perforation of a Meckel diverticulum (MD) is a rare complication that can often mimic appendicitis. This case report identifies a child who presented to our Emergency Department (ED) with right lower quadrant abdominal pain, free fluid and air in the abdomen and pelvis, and inflammatory changes visu...

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Bibliographic Details
Published in:International journal of emergency medicine 2010-12, Vol.3 (4), p.455-457
Main Authors: Kloss, Brian T., Broton, Claire E., Sullivan, Anne Marie
Format: Article
Language:English
Subjects:
Angiology
Cardiology
Case Report
Emergency Medicine
Internal Medicine
Medicine
Medicine & Public Health
Pediatrics
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Summary:Perforation of a Meckel diverticulum (MD) is a rare complication that can often mimic appendicitis. This case report identifies a child who presented to our Emergency Department (ED) with right lower quadrant abdominal pain, free fluid and air in the abdomen and pelvis, and inflammatory changes visualized on Ultrasonography (US) and computer tomography (CT) scan. In our patient, ruptured appendicitis was suspected, and the diagnosis of ruptured MD was ultimately made by laparoscopy. This case demonstrates that a healthy degree of suspicion for complicated MD should be present when dealing with a questionable diagnosis of appendicitis, particularly in the pediatric population.
ISSN:1865-1372
1865-1380
1865-1380
DOI:10.1007/s12245-010-0213-9