Small bowel perforation in Meckel diverticulitis

Case contributed by Tommaso Russo
Diagnosis certain

Presentation

Abdominal pain and mild increase in WBC count, ALT, CPK , CRP. Unremarkable medical history.

Patient Data

Age: 25 years
Gender: Male

An abdominal radiograph did not show signs of small bowel distension, an air-fluid level, or free abdominal air.

Images without findings for quiz mode.

A few tiny air bubbles and subcentimetric reactive mesenteric lymph nodes were detected in the mesentery.

One ileal loop showed moderate wall thickening (7 mm) associated with edematous mesenteric adipose tissue with a diverticular extroflexion of one of the last ileal loops.

Free liquid in pelvis and caudally to the cecum.

Curved planar reformation was used to trace the bowel and to show Meckel's Diverticulum about 60 cm from the ileocecal valve.

Russo T, Masetto A, Intotero M, Sironi S.

Case Discussion

Meckel diverticulitis is among the differential diagnoses of abdominal pain in a young patient.

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