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: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-08-01
|
| 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 |
| _version_ | 1819116739495985152 |
|---|---|
| author | JB DHARMESH ABHISHEK MAHNA PARTHM KHANPARA MARMIK SHETH VANSHIKA MUNJAL |
| author_facet | JB DHARMESH ABHISHEK MAHNA PARTHM KHANPARA MARMIK SHETH VANSHIKA MUNJAL |
| author_sort | JB DHARMESH |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T05:21:52Z |
| format | Article |
| id | doaj.art-90439f7ffb0f4267b08f31e04c6c5ab2 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-22T05:21:52Z |
| publishDate | 2021-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-90439f7ffb0f4267b08f31e04c6c5ab22022-12-21T18:37:42ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-08-01158PD01PD0310.7860/JCDR/2021/48369.15195Tuberculous Perforation of Meckel’s DiverticulumJB DHARMESH0ABHISHEK MAHNA1PARTHM KHANPARA2MARMIK SHETH3VANSHIKA MUNJAL4Postgraduate Resident, Department of General Surgery, Maharishi Markandeshwar Instittute of Medical Sciences and Research, Mullana, Haryana, India.Assistant Professor, Department of General Surgery, Maharishi Markandeshwar Instittute of Medical Sciences and Research, Mullana, Haryana, India.Postgraduate Resident, Department of General Surgery, Maharishi Markandeshwar Instittute of Medical Sciences and Research, Mullana, Haryana, India.Postgraduate Resident, Department of General Surgery, Maharishi Markandeshwar Instittute of Medical Sciences and Research, Mullana, Haryana, India.Intern, Department of General Surgery, Maharishi Markandeshwar Instittute of Medical Sciences and Research, Mullana, Haryana, India.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.https://jcdr.net/articles/PDF/15195/48369_CE[Ra1]_F[SK]_PF1(SC_RK)_PFA(SC_KM)_PN(KM).pdfileumintestinal tuberculosisperforation peritonitis |
| spellingShingle | JB DHARMESH ABHISHEK MAHNA PARTHM KHANPARA MARMIK SHETH VANSHIKA MUNJAL Tuberculous Perforation of Meckel’s Diverticulum Journal of Clinical and Diagnostic Research ileum intestinal tuberculosis perforation peritonitis |
| title | Tuberculous Perforation of Meckel’s Diverticulum |
| title_full | Tuberculous Perforation of Meckel’s Diverticulum |
| title_fullStr | Tuberculous Perforation of Meckel’s Diverticulum |
| title_full_unstemmed | Tuberculous Perforation of Meckel’s Diverticulum |
| title_short | Tuberculous Perforation of Meckel’s Diverticulum |
| title_sort | tuberculous perforation of meckel s diverticulum |
| topic | ileum intestinal tuberculosis perforation peritonitis |
| url | https://jcdr.net/articles/PDF/15195/48369_CE[Ra1]_F[SK]_PF1(SC_RK)_PFA(SC_KM)_PN(KM).pdf |
| work_keys_str_mv | AT jbdharmesh tuberculousperforationofmeckelsdiverticulum AT abhishekmahna tuberculousperforationofmeckelsdiverticulum AT parthmkhanpara tuberculousperforationofmeckelsdiverticulum AT marmiksheth tuberculousperforationofmeckelsdiverticulum AT vanshikamunjal tuberculousperforationofmeckelsdiverticulum |