Meckel diverticulitis

Case contributed by Dr Matthew Lukies

Presentation

Acute severe worsening abdominal pain. 3 months post partum and recent course of oral antibiotics for mastitis. CRP 400

Patient Data

Age: 35 years
Gender: Female
CT
  • Gas-containing blind ending structure (Meckel diverticulum) arising from a loop of distal small bowel, with surrounding inflammatory fat stranding and small bowel dilatation
  • Inflammatory fat stranding in the right flank around distal small bowel, caecum and ascending colon
  • Right lower quadrant peritonitis
  • Intraperitoneal free fluid in Morrison's pouch, the right lower quadrant and pelvis

Case Discussion

The patient in this case proceeded to the operating theatre for laparotomy, where an inflamed, ulcerated and perforated Meckel diverticulum was resected. Subsequent histopathology confirmed the diagnosis of Meckel diverticulitis.

 

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Case information

rID: 51411
Case created: 14th Feb 2017
Last edited: 11th Jun 2017
Inclusion in quiz mode: Included

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