Abstract
A case of panperitonitis caused by microperforation of Meckel's diverticulitis is reported. A 41-year-old man was admitted to the hospital because of vomiting and diffuse abdominal pain following epigastralgia. An emergency operation was performed with a diagnosis of acute panperitonitis. On laparotomy, a large amount of purulent fluid and Meckel's diverticulum that adhered to the mesenterium sigmoideum were found. A wedge resection of the ileum including the diverticulum was performed. No perforation was detected macro and microscopically, but it is sure that there was a microperforation from these findings. Although the clinical course in this case was similar to those of perforated gastroduodenal ulcer and appendicitis, we were able to differentiate it from others by the localization of tenderness.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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