Perforated Meckel’s Diverticulitis in a Patient with Unknown Intestinal Malrotation: Clinical Pitfall
Symptomatic Meckel’s diverticulum is rare in adults. The most frequent complications are intestinal obstruction and diverticulitis. Diagnosis of Meckel’s diverticulitis can be challenging due to nonspecific clinical manifestation of pain in the right lower abdominal quadrant, mimicking acute appendi...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2021/5595803 |
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| author | Marie Burgard Floryn Cherbanyk François Pugin Bernhard Egger |
| author_facet | Marie Burgard Floryn Cherbanyk François Pugin Bernhard Egger |
| author_sort | Marie Burgard |
| collection | DOAJ |
| description | Symptomatic Meckel’s diverticulum is rare in adults. The most frequent complications are intestinal obstruction and diverticulitis. Diagnosis of Meckel’s diverticulitis can be challenging due to nonspecific clinical manifestation of pain in the right lower abdominal quadrant, mimicking acute appendicitis. If associated with congenital malformation, such as intestinal malrotation, the anomalous anatomy makes the diagnosis even more challenging. In such cases, radiological imaging is essential to guide further management. We present a case of Meckel’s diverticulitis in which physicians were initially misguided because of the atypical clinical presentation. Yet, anamnestic details directed to a potential underlying malformation, leading to supplementary radiological examination and the final diagnosis. |
| format | Article |
| id | doaj-art-b34254511f8f48d0997a871fae35fbcc |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-b34254511f8f48d0997a871fae35fbcc2025-02-03T01:09:57ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/55958035595803Perforated Meckel’s Diverticulitis in a Patient with Unknown Intestinal Malrotation: Clinical PitfallMarie Burgard0Floryn Cherbanyk1François Pugin2Bernhard Egger3Department of Surgery, HFR Fribourg-Cantonal Hospital Fribourg, SwitzerlandDepartment of Surgery, HFR Fribourg-Cantonal Hospital Fribourg, SwitzerlandDepartment of Surgery, HFR Fribourg-Cantonal Hospital Fribourg, SwitzerlandDepartment of Surgery, HFR Fribourg-Cantonal Hospital Fribourg, SwitzerlandSymptomatic Meckel’s diverticulum is rare in adults. The most frequent complications are intestinal obstruction and diverticulitis. Diagnosis of Meckel’s diverticulitis can be challenging due to nonspecific clinical manifestation of pain in the right lower abdominal quadrant, mimicking acute appendicitis. If associated with congenital malformation, such as intestinal malrotation, the anomalous anatomy makes the diagnosis even more challenging. In such cases, radiological imaging is essential to guide further management. We present a case of Meckel’s diverticulitis in which physicians were initially misguided because of the atypical clinical presentation. Yet, anamnestic details directed to a potential underlying malformation, leading to supplementary radiological examination and the final diagnosis.http://dx.doi.org/10.1155/2021/5595803 |
| spellingShingle | Marie Burgard Floryn Cherbanyk François Pugin Bernhard Egger Perforated Meckel’s Diverticulitis in a Patient with Unknown Intestinal Malrotation: Clinical Pitfall Case Reports in Surgery |
| title | Perforated Meckel’s Diverticulitis in a Patient with Unknown Intestinal Malrotation: Clinical Pitfall |
| title_full | Perforated Meckel’s Diverticulitis in a Patient with Unknown Intestinal Malrotation: Clinical Pitfall |
| title_fullStr | Perforated Meckel’s Diverticulitis in a Patient with Unknown Intestinal Malrotation: Clinical Pitfall |
| title_full_unstemmed | Perforated Meckel’s Diverticulitis in a Patient with Unknown Intestinal Malrotation: Clinical Pitfall |
| title_short | Perforated Meckel’s Diverticulitis in a Patient with Unknown Intestinal Malrotation: Clinical Pitfall |
| title_sort | perforated meckel s diverticulitis in a patient with unknown intestinal malrotation clinical pitfall |
| url | http://dx.doi.org/10.1155/2021/5595803 |
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