Perforation of Meckel’s diverticulum with peritonitis: rare case report and review of literature

Meckel’s Diverticulum (MD) is the most common congenital anomaly of the small bowel found in 2% of population. The majority of patients with this anomaly will remain asymptomatic; however, several complications can occur, including obstruction, intussusceptions, hemorrhage and diverticulitis. Perforation of Meckel’s diverticulum is rare complication occurring in less than 7% of patients complicated by Meckel’s diverticulum that can often mimic appendicitis. Preoperative diagnosis of perforated Meckel’s diverticulum remains a challenging issue. This case demonstrates that a healthy degree of suspicion for complicated Meckel’s diverticulum should be present when dealing with a questionable diagnosis of appendicitis. We report case of 19 years old boy who presented to emergency department with abdominal pain in right lower quadrant mimicking perforated appendicitis. Exploratory laparotomy disclosed normal appendix and perforation of Meckel’s diverticulum.

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