A Perforated Meckel's Diverticulum Simulating Appendicular Peritonitis in a Case Report
Published: 2021-11-02
Page: 712-716
Issue: 2021 - Volume 4 [Issue 2]
A. Fatine
Department of visceral surgery, University Hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
N. Fakhiri *
Department of visceral surgery, University Hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
M. Bouali
Department of visceral surgery, University Hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
A. Elbakouri
Department of visceral surgery, University Hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
K. El Hattabi
Department of visceral surgery, University Hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
F. Z. Bensardi
Department of visceral surgery, University Hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
A. Fadil
Department of visceral surgery, University Hassan II, Faculty of Medicine and Pharmacy of Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Meckel's diverticulum is the partial persistence of the omphalo mesenteric duct. Its complications are rare. The diagnosis is most often per operative. We report the case of a 54-year-old patient admitted to the emergency room for a peritonitis picture. The clinical examination showed a generalized abdominal tenderness, the abdominal scan showed a tumified appendix in a retro caecal position measuring 12 mm in maximum thickness with a small amount of effusion.
During the operation we found a perforated Meckel's diverticulum which is responsible for peritonitis, the patient benefited from a segmental bowel resectionwith an ileostomy.The Post-operative follow-up was normal and the patient was discharged on day 3 postop. The anatomopathological examination of the surgical specimen showed an inflammatory aspect without signs of malignancy, one month after the operation the patient benefited from a restoration of the ileal continuity.
Keywords: Meckel's diverticulum, small bowel, T-resection