Meckel diverticulum

Case contributed by Dr Maulik S Patel

Presentation

Peri-umbilical abdominal pain for about 6 months. Increased pain for last 2 days. Vomiting - 1 day.

Patient Data

Age: 17 yrs
Gender: Male
Modality: Ultrasound

There are dilated small bowel loop in lower abdomen with maximum diameter upto 35 mm. Transition is seen in right iliac fossa / right para-umbilical region. There is no bowel wall odema.

There is a tubular, aperistaltic structure in right umbilical region / right iliac fossa. Blind end is near umbilicus. The other end is direct to right iliac fossa. There is fluid with air in this structure. It appears to join small bowel.

Modality: X-ray

There are multiple air fluid levels showing small bowel morphology. There is no free intra-peritoneal gas under domes of diaphragm.

Modality: Photo

Resected diverticulum.

Case Discussion

Ultrasound findings suggested small bowel obstruction possibly due to Meckel diverticulum.

Surgery revealed Meckel diverticulum as a cause of small bowel obstruction.

Photograph provided by operating surgeon Dr Jignesh Patel

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Case Information

rID: 43726
Case created: 23rd Mar 2016
Last edited: 19th Apr 2017
Inclusion in quiz mode: Included

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