Spontaneous Perforation of Meckel’s Diverticulum: An Unusual Cause of Peritonitis in an Adult

Author:

Jain Hemant1,Joshi Riecha2ORCID,Sudan Aarushi3,Banga Akshat4

Affiliation:

1. Ananta Medical College, Udaipur, India.

2. Government Medical College, Kota, India.

3. Jacobi Medical Center, New York, USA.

4. Sawai Man Singh Medical College, Jaipur, India.

Abstract

Meckel’s diverticulum (MD) is a congenital gastrointestinal abnormality that rarely causes symptoms but may also cause perforation, obstruction, and gastrointestinal bleeding. It is more common in paediatric population and occurrence of complications like perforation in adults are seldom reported in the literature. We present the case of a 49-year-old male who exhibited sudden onset abdominal pain, distension, and bilious vomiting. Surgical exploration revealed the presence of a gangrenous and perforated Meckel’s diverticulum. The importance of considering MD as a potential source of abdominal symptoms even in adults and the difficulties in diagnosing perforated MD are highlighted in this case.

Publisher

Department of Medicine, Warren Alpert Medical School at Brown University

Reference14 articles.

1. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950–2002);John J. Park;Annals of surgery,2005

2. Meckel’s diverticulum: comparison of incidental and symptomatic cases;Kamal E. Bani-Hani;World journal of surgery,2004

3. Spontaneous perforation of Meckel’s diverticulum in an adult female with literature review;Andrew A. Fraser;Surgical Case Reports,2018

4. Review of the incidence and management of Meckel’s diverticulum;R. Quarrie;Austin J Surg,2014

5. Symptomatic Meckel’s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult;Abishek Hariharan;Cureus,2023

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