Meckel diverticulitis

Case contributed by Dr Zareena Ansari

Presentation

Right lower quadrant pain and low grade fever.

Patient Data

Age: Middle aged
Gender: Male
Ultrasound

Bulbous anechoic structure is seen in the right lower quadrant. High-frequency images reveal the structure arising from bowel, with a calcified density at its neck with mildly thick wall, as well as fine echoes within the lesion.

Case Discussion

Most likely diagnosis of appendicitis was made, however the lesion was very close to the midline and this was conveyed to the surgeon.  Rather than making the usual incision in the right iliac fossa, went from midline and found an infected, dilated Meckel diverticulum containing a faecolith.

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Case information

rID: 13501
Published: 17th Apr 2011
Last edited: 22nd Jun 2018
Inclusion in quiz mode: Included

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