Perforated Meckel's diverticulitis complicating pregnancy at 28 weeks' gestation misdiagnosed as appendicitis
Perforated Meckel's diverticulum is an extremely rare cause of an acute abdomen in pregnancy. Its clinical presentation is similar to that of appendicitis and diagnosis is delayed in most cases. We present a patient who developed increasing abdominal pain and leukocytosis at 28 weeks of gestati...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health/LWW
2018-01-01
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| Series: | Reproductive and Developmental Medicine |
| Subjects: | |
| Online Access: | http://www.repdevmed.org/article.asp?issn=2096-2924;year=2018;volume=2;issue=3;spage=187;epage=189;aulast=Hu |
| _version_ | 1818471066315522048 |
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| author | Wen-Ting Hu Qing-Ying Zhang Hai-Dong Cheng |
| author_facet | Wen-Ting Hu Qing-Ying Zhang Hai-Dong Cheng |
| author_sort | Wen-Ting Hu |
| collection | DOAJ |
| description | Perforated Meckel's diverticulum is an extremely rare cause of an acute abdomen in pregnancy. Its clinical presentation is similar to that of appendicitis and diagnosis is delayed in most cases. We present a patient who developed increasing abdominal pain and leukocytosis at 28 weeks of gestation. She was misdiagnosed with appendicular peritonitis until acute exploratory laparotomy. Regarding related published cases up to now, most cases did not make a correct preoperative diagnosis of Meckel's diverticulum. This case suggests that Meckel's diverticulum in pregnancy may have serious consequences. A high index of suspicion and a low threshold for surgical intervention are required to minimize morbidity and mortality. |
| first_indexed | 2024-04-13T21:46:08Z |
| format | Article |
| id | doaj.art-372bdef2a6044a1587fb6d687984e933 |
| institution | Directory Open Access Journal |
| issn | 2096-2924 |
| language | English |
| last_indexed | 2024-04-13T21:46:08Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Reproductive and Developmental Medicine |
| spelling | doaj.art-372bdef2a6044a1587fb6d687984e9332022-12-22T02:28:34ZengWolters Kluwer Health/LWWReproductive and Developmental Medicine2096-29242018-01-012318718910.4103/2096-2924.248483Perforated Meckel's diverticulitis complicating pregnancy at 28 weeks' gestation misdiagnosed as appendicitisWen-Ting HuQing-Ying ZhangHai-Dong ChengPerforated Meckel's diverticulum is an extremely rare cause of an acute abdomen in pregnancy. Its clinical presentation is similar to that of appendicitis and diagnosis is delayed in most cases. We present a patient who developed increasing abdominal pain and leukocytosis at 28 weeks of gestation. She was misdiagnosed with appendicular peritonitis until acute exploratory laparotomy. Regarding related published cases up to now, most cases did not make a correct preoperative diagnosis of Meckel's diverticulum. This case suggests that Meckel's diverticulum in pregnancy may have serious consequences. A high index of suspicion and a low threshold for surgical intervention are required to minimize morbidity and mortality.http://www.repdevmed.org/article.asp?issn=2096-2924;year=2018;volume=2;issue=3;spage=187;epage=189;aulast=HuAppendicitis; Meckel's Diverticulum; Misdiagnosis; Pregnancy |
| spellingShingle | Wen-Ting Hu Qing-Ying Zhang Hai-Dong Cheng Perforated Meckel's diverticulitis complicating pregnancy at 28 weeks' gestation misdiagnosed as appendicitis Reproductive and Developmental Medicine Appendicitis; Meckel's Diverticulum; Misdiagnosis; Pregnancy |
| title | Perforated Meckel's diverticulitis complicating pregnancy at 28 weeks' gestation misdiagnosed as appendicitis |
| title_full | Perforated Meckel's diverticulitis complicating pregnancy at 28 weeks' gestation misdiagnosed as appendicitis |
| title_fullStr | Perforated Meckel's diverticulitis complicating pregnancy at 28 weeks' gestation misdiagnosed as appendicitis |
| title_full_unstemmed | Perforated Meckel's diverticulitis complicating pregnancy at 28 weeks' gestation misdiagnosed as appendicitis |
| title_short | Perforated Meckel's diverticulitis complicating pregnancy at 28 weeks' gestation misdiagnosed as appendicitis |
| title_sort | perforated meckel s diverticulitis complicating pregnancy at 28 weeks gestation misdiagnosed as appendicitis |
| topic | Appendicitis; Meckel's Diverticulum; Misdiagnosis; Pregnancy |
| url | http://www.repdevmed.org/article.asp?issn=2096-2924;year=2018;volume=2;issue=3;spage=187;epage=189;aulast=Hu |
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