Perforated Meckel's Diverticulum Caused by a Toothpick: A Case Report and Review of Literature.
| Autor: | Fernandez Trokhimtchouk T; General Surgery, Univesidad Internacional del Ecuador, Axxis Hospital, Quito, ECU., Flores LF; General Surgery, Univesidad Internacional del Ecuador, Axxis Hospital, Quito, ECU., Morillo Cox Á; General Surgery, Univesidad Internacional del Ecuador, Axxis Hospital, Quito, ECU., Otanez ES; General Surgery, Univesidad Internacional del Ecuador, Axxis Hospital, Quito, ECU., Crespo Martinez JK; General Surgery, Univesidad Internacional del Ecuador, Axxis Hospital, Quito, ECU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Apr 10; Vol. 15 (4), pp. e37390. Date of Electronic Publication: 2023 Apr 10 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.37390 |
| Abstrakt: | Although Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, it is rare in the general adult population. When it does become symptomatic, it is usually due to complications such as perforation. We report the case of a 38-year-old man who presented with acute abdominal pain in the right iliac fossa, fever, and tachycardia. Complementary exams at the emergency department showed leukocytosis and elevated C-reactive protein. Acute appendicitis was suspected, so he was taken to the operating room for a diagnostic laparoscopy. During surgical exploration, a perforated Meckel's diverticulum caused by a toothpick was found. Surgery was converted to laparotomy with resection of the small bowel segment containing the diverticulum, followed by a primary anastomosis. The postoperative period was uneventful, and the patient was discharged on day seven. No abnormalities were reported in the histopathology study. In this report, we review and discuss similar cases found in the literature, all of them male with acute abdomen and suspicion of appendicitis. We aim to remark on the importance of keeping in the differential of such patients a perforated Meckel's diverticulum. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Fernandez Trokhimtchouk et al.) |
| Databáze: | MEDLINE |
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