Acute Meckel diverticulitis

Case contributed by Hani Makky Al Salam
Diagnosis almost certain


Acute abdominal pain. Periumbilical pain then shifted to the right iliac fossa.

Patient Data

Age: 25 years
Gender: Male

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 fat stranding. No abscess, no free fluid and no bowel obstruction. The appendix is located anterior to the cecum and is normal in appearance. 

Annotated image

Blind-ending Meckel diverticulum is noted in the right iliac fossa with surrounding stranding and inflammation. Normal appendix (blue arrow) located anteriorly. 

Case Discussion

This case demonstrates typical appearances of Meckel diverticulitis, and uncommon but classic clinical mimicker of acute appendicitis. 

Courtesy of Dr Shukri Lutfi, KAMC Riyadh, Saudi Arabia. 

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