Acute Meckel diverticulitis

Case contributed by Dr Hani Salam

Presentation

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

Patient Data

Age: 25 years
Gender: Male
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 fat stranding. No abscess, no free fluid and no bowel obstruction. The appendix is located anterior to the caecum 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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Case information

rID: 12108
Published: 21st Oct 2010
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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