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. 2015:15:143-5.
doi: 10.1016/j.ijscr.2015.07.029. Epub 2015 Aug 22.

Perforated Meckel's diverticulum in an adult due to faecolith: A case report and review of literature

Sunny Modi  1 , Shant Kanapathy Pillai  2 , Stefaan DeClercq  3
Affiliations

Perforated Meckel's diverticulum in an adult due to faecolith: A case report and review of literature

Sunny Modi et al. Int J Surg Case Rep. 2015.

Abstract

Meckel's diverticulum (MD) is a persistent remnant of the vitelointestinal duct and is present in 2% of population [1]. It is the most common congenital malformation of the gastrointestinal tract. It can present clinically as haemorrhage, diverticulitis, intussusception, chronic ulceration, intestinal obstruction and perforation. Complicated presentation, especially bleeding, tends to be more common in the paediatric group, whereas intestinal obstruction is more common in adults [2]. Patients with a perforation of Meckel's diverticulum by an enterolith are rare and may present with right iliac fossa pain, which mimics acute appendicitis.

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Figures

Fig. 1
Fig. 1
CT Scan showing Meckel’s diverticulum with faecolith.
Fig. 2
Fig. 2
Perforated Meckel’s diverticulum with faecolith in-situ.
Fig. 3
Fig. 3
Diverticulectomy performed using endoGIA tristaple 45 mm brown load.
See this image and copyright information in PMC

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