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Case Reports
. 2018 Jun 13;2018(6):rjy126.
doi: 10.1093/jscr/rjy126. eCollection 2018 Jun.

Perforation of a mesenteric Meckel's diverticulum

Melissa M Levack  1 , Amy G Fiedler  1 , Haytham Kaafarani  1 , David R King  1
Affiliations
Case Reports

Perforation of a mesenteric Meckel's diverticulum

Melissa M Levack et al. J Surg Case Rep. .

Abstract

Meckel's diverticulum is a remnant of the embryologic omphalomeseteric duct and is a common congenital anomaly found in ~2% of the population. The clinical significance of this anomaly is that the persistent diverticulum can lead to intestinal obstruction or diverticulitis and may contain ectopic tissue which can lead to bleeding, ulceration or perforation. The classic location of a Meckel's diverticulum has been described ~40 cm from the ileocecal valve on the antimesenteric side of the distal ileum. There have only been a few documented cases of a Meckel's diverticulum found on the mesenteric border of the ileum. In this report, we describe a patient who presented with a perforated Meckel's diverticulum which was found on the mesenteric border and performed a review to determine the significance of this finding.

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Figures

Figure 1:
Figure 1:
Abdominal CT scan ((A) coronal and (B) axial slices) showing a dilated and inflamed tubular structure indicated by the white arrows misinterpreted as acute appendicitis.
Figure 2:
Figure 2:
Intra-operative picture of the surgical specimen depicting the mesenteric-sided Meckel’s diverticulum with a clear perforation at the base of the diverticulum.
See this image and copyright information in PMC

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