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2000
Volume 21, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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Abstract

Background

Perforation is one of the rarest effects of Meckel's diverticulum and may clinically resemble acute appendicitis.

Case Report

A 34-year-old woman with pain in the right iliac fossa, nausea, and vomiting for three days was brought to the emergency department. An abdominal examination indicated rebound tenderness in the area of the right iliac fossa. Abdominal ultrasound showed a heterogeneous lesion in the left iliac fossa measuring 5 cm × 3.5 cm × 4 cm with no internal vascularity. Abdominal Computed Tomography (CT) demonstrated a hypodense lesion located left of the midline of the abdomen, which was inseparable from the small bowel at the antimesenteric border. Laparoscopic exploration was performed, and an intraoperative diagnosis of perforated Meckel’s diverticulum with phlegmon formation was made. The patient had an uneventful recovery.

Conclusion

Radiologists should be aware of the possibility of complicated Merkel's diverticulum when encountering cases of acute abdominal pain. If there is a lower abdominal inflammatory process and a normal appendix is identified, there should be a high degree of suspicion when examining the CT scan.

© 2025 The Author(s). Published by Bentham Science Publishers.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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2025-09-04

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References

  1. KothaV.K. KhandelwalA. SabooS.S. ShanbhogueA.K.P. VirmaniV. MargineanE.C. MeniasC.O. Radiologist’s perspective for the Meckel’s diverticulum and its complications.Br. J. Radiol.20148710372013074310.1259/bjr.2013074324611767
     [Google Scholar]
  2. MeckelJ.F. 1809 Uber die divertikel am darmkanal.Arch Physiol18099421453
     [Google Scholar]
  3. ClarkJ.K. PazD.A. GhahremaniG.G. Imaging of Meckel’s diverticulum in adults: Pictorial essay.Clin. Imaging201438555756410.1016/j.clinimag.2014.04.02024998882
     [Google Scholar]
  4. GroebliY. BertinD. MorelP. Meckel’s diverticulum in adults: Retrospective analysis of 119 cases and historical review.Eur. J. Surg.2001167751852410.1080/11024150131691489411560387
     [Google Scholar]
  5. YmaguchiM. TakeuchiS. AwazuS. Meckel’s diverticulum. Investigation of 600 patients in Japanese literature.Am. J. Surg.19781362247249308325
     [Google Scholar]
  6. LeijonmarckC-E. Bonman-SandelinK. FrisellJ. RäfL. Meckel’s diverticulum in the adult.Br. J. Surg.198673214614910.1002/bjs.18007302253484984
     [Google Scholar]
  7. PlatonA. GervazP. BeckerC.D. MorelP. PolettiP.A. Computed tomography of complicated Meckel’s diverticulum in adults: A pictorial review.Insights Imaging201012536110.1007/s13244‑010‑0017‑822347905
     [Google Scholar]
  8. HagerM. MaierH. EberweinM. KlinglerP. KolbitschC. TiefenthalerW. MikuzG. MoserP.L. Perforated Meckel’s diverticulum presenting as a gastrointestinal stromal tumor: A case report.J. Gastrointest. Surg.20059680981110.1016/j.gassur.2004.12.00516189886
     [Google Scholar]
  9. FarahR.H. AvalaP.P. KhaizD. BensardiF. ElhattabiK. LefriyekhR. BerradaS. FadilA. ZeroualiN.O. Spontaneous perforation of Meckel's diverticulum: A case report and review of literature.Pan Afr. Med. J.20152031910.11604/pamj.2015.20.319.598026175810
     [Google Scholar]
  10. LiuK.T. WuY.H. Spontaneous perforation of Meckel diverticulum.Medicine20179652e950610.1097/MD.000000000000950629384952
     [Google Scholar]
  11. BennettG.L. BirnbaumB.A. BalthazarE.J. CT of Meckel’s diverticulitis in 11 patients.AJR Am. J. Roentgenol.2004182362562910.2214/ajr.182.3.182062514975960
     [Google Scholar]
  12. SancarS. DemirciH. SayanA. ArikanA. CandarA. Meckel’s diverticulum: Ten years’ experience.Ulus. Cerrahi Derg.2015312656710.5152/UCD.2015.283426170751
     [Google Scholar]
  13. YahchouchyE.K. MaranoA.F. EtienneJ.C.F. FingerhutA.L. Meckel’s Diverticulum.J. Am. Coll. Surg.2001192565866210.1016/S1072‑7515(01)00817‑111333103
     [Google Scholar]
  14. ElsayesK.M. MeniasC.O. HarvinH.J. FrancisI.R. Imaging manifestations of Meckel’s diverticulum.AJR Am. J. Roentgenol.20071891818810.2214/AJR.06.125717579156
     [Google Scholar]
  15. MostbeckG.H. LiskutinJ. DorffnerR. BittmannB. ResingerM. Ultrasonographic diagnosis of a bleeding Meckel’s diverticulum.Pediatr. Radiol.200030638210.1007/s00247005076610876820
     [Google Scholar]
  16. SchwartzM.J. LewisJ.H. Meckel’s diverticulum: pitfalls in scintigraphic detection in the adult.Am. J. Gastroenterol.19847986116186087654
     [Google Scholar]
  17. GueyeM.L. ThiamO. SeckM. GueyeM.N. ToureA.O. CisseM. KaO. DiengM. ToureC.T. Perforated mesenteric Meckel’s diverticulum in an adult: a real variant?J. Surg. Case Rep.201520159rjv11510.1093/jscr/rjv11526330235
     [Google Scholar]
  18. ModiS. Kanapathy PillaiS. DeClercqS. Perforated Meckel’s diverticulum in an adult due to faecolith: A case report and review of literature.Int. J. Surg. Case Rep.20151514314510.1016/j.ijscr.2015.07.02926363105
     [Google Scholar]
  19. RafeA. PoteM. TakalkarU. Perforation of Meckel’s diverticulum with peritonitis: rare case report and review of literature.Int. Surg. J201523424427
     [Google Scholar]
  20. AbizeidG.A. ArefH. Case report: preoperatively diagnosed perforated Meckel’s diverticulum containing gastric and pancreatic-type mucosa.BMC Surg.20171713610.1186/s12893‑017‑0236‑828399839
     [Google Scholar]
  21. CameloR. SantosP. Mateus MarquesR. Perforated Meckel’s Diverticulum in an Adult.GE Port. J. Gastroenterol.201926428528910.1159/00049343931328144
     [Google Scholar]
  22. FraserA.A. OpieD.D. GneccoJ.IV NashedB. JohnsonD.C. Spontaneous perforation of Meckel’s diverticulum in an adult female with literature review.Surg. Case Rep.20184112910.1186/s40792‑018‑0536‑y30382419
     [Google Scholar]
  23. Al-QahtaniJM SmA QabbaniA Rare Variant of Meckel’s Diverticulum on the Mesenteric Border Complicated by Perforation: Case Report and Literature Review.J. Clinical Case Rep.20188
     [Google Scholar]
  24. Zabalza San MartínL. Rubio IturriaS. Vicuña ArreguiM. Rodríguez GutiérrezC. Perforated Meckel’s diverticulitis in an adult as an atypical cause of abdominal pain.Gastroenterol. Hepatol.201942956656710.1016/j.gastrohep.2019.04.00631493947
     [Google Scholar]
  25. ShimagakiT. KonishiK. KawataK. EdahiroK. EdagawaM. TakenakaT. OhmineT. KinjoN. YamaguchiS. MaedaT. TsutsuiS. MatsudaH. A case of perforation of Meckel’s diverticulum with enterolith.Surg. Case Rep.20206116110.1186/s40792‑020‑00926‑632632651
     [Google Scholar]
  26. AlShareefB. KhudariO. Perforated mesenteric Meckel’s diverticulum: Case report.Int. J. Surg. Case Rep.20217927127410.1016/j.ijscr.2021.01.02733486309
     [Google Scholar]
  27. TupputiU. CarpagnanoF. CarpentiereR. GuglielmiG. Perforated Meckel’s diverticulum in a young male patient: A case report.Digital Diagnostics202124465470
     [Google Scholar]
  28. HerathMtd WimalasenaD AbeyasingheAhmgb Case Report - Perforated Meckel's Diverticulum Mimicking Acute Appendicitis in an Adult Female.2022
     [Google Scholar]
/content/journals/cmir/10.2174/0115734056320557241211115403
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Perforated Meckel's Diverticulum in an Adult that Resembles Acute Appendicitis: A Case Report and Review of Literature
Curr. Med. Imaging 21, e15734056320557 (2025); https://doi.org/10.2174/0115734056320557241211115403
/content/journals/cmir/10.2174/0115734056320557241211115403
/content/journals/cmir/10.2174/0115734056320557241211115403
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  • Article Type:     Case Report
Keyword(s): Adult; Case report; Imaging; Meckel's diverticulum (MD); Perforation; ultrasound

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