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