Meckel diverticulitis

Case contributed by Dr Sebastian Tschauner

Presentation

Patient with recurrent vague right lower quadrant abdominal pain, acutely aggravated in the last hours.

Patient Data

Age: 38
Gender: Female
CT

70 seconds delay

Dilated stool-filled blindly-ending loop of small bowel in the right lower quadrant with perifocal adipose tissue infiltration, representing inflammation. No significant amounts of free intraperitoneal air or fluid.

Annotated image

Annotated images

Dilated stool-filled blindly-ending loop of small bowel in the right lower quadrant with perifocal fat stranding.

Case Discussion

Patient went to surgery, where the inflamed bowel was resected successfully. 
A contained perforated Meckel diverticulitis was confirmed both intrasurgically and histologically. 

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Case information

rID: 40278
Case created: 15th Oct 2015
Last edited: 4th Jan 2016
Inclusion in quiz mode: Included

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