Abstract

Meckel's diverticulum is usually only detected when complications arise or else is incidentally discovered at laparotomy, since this anomaly is essentially asymptomatic. Among the complications of Meckel's diverticulum, perforation is uncommon and that due to fish bones is particularly rare in Japan. We report this rare case together with a discussion of the relevant literature, including 5 cases reported previously in Japan. A 69-year-old man uncerwent laparotomy with a diagnosis of perforated appendicitis. The patient was found to have a Meckel's diverticulum that had been perforated by a sharp fish bone (mackerel) 1.7cm long. Wedge resection of the diverticulum was performed. Histologically, it was a true diverticulum and contained ectopic pancreatic tissue.

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