Bay leaf perforation of Meckel's diverticulum

On pathological examination of the excised specimens, the vermiform appendix was 7 cm long and 0.8 cm in diameter, and was grossly and microscopically normal. The Meckel's diverticulum consisted of a portion of viscus 4.5 cm long with one end opened; the other end was a blind sac, with an irreg...

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Bibliographic Details
Published in:Canadian Journal of Surgery 1997-04, Vol.40 (2), p.146-147
Main Authors: Bell, C D, Mustard, R A
Format: Article
Language:English
Subjects:
Correspondence
Foreign Bodies - complications
Gastrointestinal tract
Humans
Intestinal Perforation - etiology
Magnoliopsida - adverse effects
Male
Meckel Diverticulum - complications
Middle Aged
Plant Leaves
Surgery
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Summary:On pathological examination of the excised specimens, the vermiform appendix was 7 cm long and 0.8 cm in diameter, and was grossly and microscopically normal. The Meckel's diverticulum consisted of a portion of viscus 4.5 cm long with one end opened; the other end was a blind sac, with an irregular serosal fibrinous membrane 2 cm in diameter. On palpation of the blind end, a sharp object was felt protruding through the serosal surface. When the lumen was opened, a portion of bay leaf, 2 cm long, was found penetrating the bowel wall at an area of mucosal ulceration (Fig. 1). On microscopic examination, the perforation site showed discontinuity of the mucosa associated with fibrin deposition. The serosal surface at that site was covered by a membrane of fibrin infiltrated by polymorphonuclear leukocytes.
ISSN:0008-428X
1488-2310