A Rare Cause of Abdominal Pain in Adults: Meckel’s Diverticulitis

• Main Authors: Usman Pirzada, Hassan Tariq, Sara Azam, Kishore Kumar, Anil Dev
• Format: Article
• Language: English
• Published: Karger Publishers 2018-11-01
• Series: Case Reports in Gastroenterology
• Subjects: Meckel’s diverticulitis; Meckel’s diverticulum; Abdominal pain; Meckel’s scan
• Online Access: https://www.karger.com/Article/FullText/494752

A 42-year-old man presented to the emergency room with complaints of periumbilical abdominal pain. A contrast-enhanced computed tomography revealed mucosal thickening in the small bowel of the right abdomen. There was a fairly large small bowel diverticulum associated with this segment. Findings were suggestive of small bowel diverticulitis or possibly focal enteritis. A Meckel’s diverticulum scan was diagnostic of Meckel’s diverticulum. The patient was then immediately taken to the operating room for emergency laparotomy and was intra-operatively found to have a thickened Meckel’s diverticulitis with adjacent small bowel obstruction. Meckel’s diverticulectomy was performed in continuity with the adjacent inflamed small bowel. The patient had a stable postoperative course without any complications and was discharged within 10 days. At the 3-month follow-up, the patient was well and remained asymptomatic.