Khan Muhammad Muntazir Mehdi, Arham Asfia, Farooq Rimsha, Irfan Simra, Alvi Rehman
Surgery, The Ohio State University Wexner Medical Center, Columbus, USA.
General Surgery, Aga Khan University Hospital, Karachi, PAK.
Cureus. 2024 Feb 2;16(2):e53460. doi: 10.7759/cureus.53460. eCollection 2024 Feb.
One of the most frequently encountered congenital anomalies of the gastrointestinal tract is the Meckel's diverticulum. Perforation of the diverticulum, a rare complication, can significantly hinder accurate diagnosis of the condition. Other common complications associated with Meckel's diverticulum include intestinal obstruction, intussusception, volvulus, inflammation, and hemorrhage. The presentation is similar to the presentation of appendicitis at times. Formation of a phlegmon around a perforated Meckel's diverticulum can mask clinical signs and symptoms. We present a case of a 59-year-old man who presented with pain in the right upper and lower quadrants. After imaging, the patient underwent exploratory laparotomy, which revealed a perforated Meckel's diverticulum. This case highlights the importance of considering Meckel's diverticulum as a possible diagnosis in patients presenting with acute abdominal pain. A thorough approach to history and physical exam combined with imaging can help in the early diagnosis of a perforated Meckel's diverticulum.
梅克尔憩室是胃肠道最常见的先天性异常之一。憩室穿孔是一种罕见的并发症，会严重妨碍对该病的准确诊断。与梅克尔憩室相关的其他常见并发症包括肠梗阻、肠套叠、肠扭转、炎症和出血。其表现有时与阑尾炎相似。梅克尔憩室穿孔周围形成的蜂窝织炎会掩盖临床体征和症状。我们报告一例59岁男性患者，其表现为右上腹和右下腹疼痛。经影像学检查后，患者接受了剖腹探查术，结果发现一个穿孔的梅克尔憩室。该病例强调了在出现急性腹痛的患者中考虑梅克尔憩室作为可能诊断的重要性。全面的病史询问、体格检查以及影像学检查相结合有助于梅克尔憩室穿孔的早期诊断。
