Tuberculous Perforation of Meckel’s Diverticulum
Meckel’s Diverticulum (MD) is an example of a true diverticulum, consisting of all the three layers of small intestine. It is a remnant of omphalomesenteric (vitellointestinal) duct found on the antimesenteric side of the ileum. Perforation of MD is an uncommon complication of an effectively uncom...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/15195/48369_CE[Ra1]_F[SK]_PF1(SC_RK)_PFA(SC_KM)_PN(KM).pdf |
| Summary: | Meckel’s Diverticulum (MD) is an example of a true diverticulum, consisting of all the three layers of small intestine. It is a remnant
of omphalomesenteric (vitellointestinal) duct found on the antimesenteric side of the ileum. Perforation of MD is an uncommon
complication of an effectively uncommon abnormality, which regularly mimics an appendicular perforation clinically. Although
intestinal tuberculosis is a major issue in many parts of the world, a handful of cases of tubercular perforation of MD have been
reported in the literature till date. This case of tubercular perforation of MD was reported due to the rarity of the condition and
presence of fairly less literature on the topic. A 30-year-old male patient presented with abdominal pain, fever, vomiting. On
examination, tachycardia, guarding, rigidity and rebound tenderness were observed. Exploratory laparotomy revealed perforation
of MD with inflammation of ileum and caecum with dense adhesions. Proximal loop ileostomy was made. Histopathology showed
features of tuberculosis. Postoperative recovery was uneventful and patient was started on antitubercular treatment and 4 kgs
weight gain on follow-up after one month. |
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| ISSN: | 2249-782X 0973-709X |