Acute Meckel's diverticulitis
Case contributed by:
Dr Hani Alsalam
Presentation:
Acute abdominal pain. The pain was periumbilcal then shifted to the right iliac fossa.
Patient Data:
Age: 25 years
Gender: Male
Race: Middle eastern
From the case:
Acute Meckel's diverticulitis
Modality:
CT
In the right iliac fossa is a blind ending tubular structure arising from the distal small bowel, which has a markedly thickened wall with extensive surrounding stranding. No abscess, no free fluid and no bowel obstruction. The appendix is located anterior to the caecum and is normal in appearance.
From the case:
Acute Meckel's diverticulitis
Modality:
Annotated image
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Blind ending Meckel's diverticulum is noted in the right iliac fossa with surrounding stranding / inflammation.
Case Discussion:
This case demonstrates typical appearances of Meckel's diverticulitis, and uncommon but classic clinical mimiker of acute appendicitis.
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Courtesy of Dr Shukri Lutfi, KAMC Riyadh, Saudi Arabia.
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