Abstract

Meckel diverticulum is the most common congenital structural abnormality of the gastrointestinal tract. In 1809, Johann Friedrich Meckel first described its embryological origin. Between 2% and 4% of people may have Meckel diverticulum and 4-6% of them suffer from complications [1]. Meckel diverticulitis is usually confused with acute appendicitis and perforation with peptic ulcer perforation. We report a case which was clinically diagnosed as acute appendicitis which turned out to be perforation of a Meckel diverticulum, with inflammation of the appendix. This diagnostic and therapeutic dilemma of the case gives us an opportunity to report it as a case of interest. The Sri Lanka Journal of Surgery 2014; 32(4): 28-29

Highlights

  • Perforation of Meckel diverticulum presenting with acute appendicitisA.K. Chowdhury1, P.B. Roy1, S. Sarker2, M. Chowdhury1 1 Department of Surgery, University of Science and Technology Chittagong, Bangladesh 2 Department of Surgery, BGC Trust Medical College and Hospital, Chittagong, Bangladesh Key Words: Perforation of Meckel diverticulum; vegetable stalk; acute appendicitis

  • Meckel diverticulum is the most common congenital structural abnormality of the gastrointestinal tract

  • Perforation is usually confused with peptic ulcer perforation and rarely with acute appendicitis [5]

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Summary

Perforation of Meckel diverticulum presenting with acute appendicitis

A.K. Chowdhury1, P.B. Roy1, S. Sarker2, M. Chowdhury1 1 Department of Surgery, University of Science and Technology Chittagong, Bangladesh 2 Department of Surgery, BGC Trust Medical College and Hospital, Chittagong, Bangladesh Key Words: Perforation of Meckel diverticulum; vegetable stalk; acute appendicitis

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