Spontaneous perforation of Meckel’s diverticulum in an adult female with literature review

Abstract Background Perforated Meckel’s diverticulum is a rare complication of an already rare disease process, which often mimics a perforated appendix on presentation and diagnosis. The majority of case reports for perforation involve either a foreign body or fecalith. Case presentation We report...

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Main Authors: Andrew A. Fraser, Douglas D. Opie, James Gnecco, Beshoy Nashed, David C. Johnson
Format: Article
Language:English
Published: SpringerOpen 2018-11-01
Series:Surgical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40792-018-0536-y
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author Andrew A. Fraser
Douglas D. Opie
James Gnecco
Beshoy Nashed
David C. Johnson
author_facet Andrew A. Fraser
Douglas D. Opie
James Gnecco
Beshoy Nashed
David C. Johnson
author_sort Andrew A. Fraser
collection DOAJ
description Abstract Background Perforated Meckel’s diverticulum is a rare complication of an already rare disease process, which often mimics a perforated appendix on presentation and diagnosis. The majority of case reports for perforation involve either a foreign body or fecalith. Case presentation We report the case of a 54-year-old female who initially presented at another institution with signs and symptoms of acute appendicitis and underwent appendectomy with a drain left in place. Subsequently, she underwent exploratory laparotomy at our institution for a perceived stump leak or incidental perforation and was found to have a perforated Meckel’s, with no evidence of foreign body or fecalith. Conclusion The literature of Meckel’s diverticulum is reviewed, and we discuss the difficulty in diagnosis as well as the quandary of incidental resection.
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spelling doaj.art-55d1d62e23474f689fe5fc7951021cb42022-12-21T18:48:23ZengSpringerOpenSurgical Case Reports2198-77932018-11-01411510.1186/s40792-018-0536-ySpontaneous perforation of Meckel’s diverticulum in an adult female with literature reviewAndrew A. Fraser0Douglas D. Opie1James Gnecco2Beshoy Nashed3David C. Johnson4General Surgery Department, Mountain Vista Medical CenterGeneral Surgery Department, Mountain Vista Medical CenterGeneral Surgery Department, Mountain Vista Medical CenterGeneral Surgery Department, Mountain Vista Medical CenterGeneral Surgery Department, Mountain Vista Medical CenterAbstract Background Perforated Meckel’s diverticulum is a rare complication of an already rare disease process, which often mimics a perforated appendix on presentation and diagnosis. The majority of case reports for perforation involve either a foreign body or fecalith. Case presentation We report the case of a 54-year-old female who initially presented at another institution with signs and symptoms of acute appendicitis and underwent appendectomy with a drain left in place. Subsequently, she underwent exploratory laparotomy at our institution for a perceived stump leak or incidental perforation and was found to have a perforated Meckel’s, with no evidence of foreign body or fecalith. Conclusion The literature of Meckel’s diverticulum is reviewed, and we discuss the difficulty in diagnosis as well as the quandary of incidental resection.http://link.springer.com/article/10.1186/s40792-018-0536-yMeckel’s diverticulumPerforationDiagnosisResection
spellingShingle Andrew A. Fraser
Douglas D. Opie
James Gnecco
Beshoy Nashed
David C. Johnson
Spontaneous perforation of Meckel’s diverticulum in an adult female with literature review
Surgical Case Reports
Meckel’s diverticulum
Perforation
Diagnosis
Resection
title Spontaneous perforation of Meckel’s diverticulum in an adult female with literature review
title_full Spontaneous perforation of Meckel’s diverticulum in an adult female with literature review
title_fullStr Spontaneous perforation of Meckel’s diverticulum in an adult female with literature review
title_full_unstemmed Spontaneous perforation of Meckel’s diverticulum in an adult female with literature review
title_short Spontaneous perforation of Meckel’s diverticulum in an adult female with literature review
title_sort spontaneous perforation of meckel s diverticulum in an adult female with literature review
topic Meckel’s diverticulum
Perforation
Diagnosis
Resection
url http://link.springer.com/article/10.1186/s40792-018-0536-y
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AT jamesgnecco spontaneousperforationofmeckelsdiverticuluminanadultfemalewithliteraturereview
AT beshoynashed spontaneousperforationofmeckelsdiverticuluminanadultfemalewithliteraturereview
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