Laparoscopic management of perforated Meckel`s diverticulum: a case report
EAES Academy. Lovitskyi Y. 07/05/22; 363094; P139
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Abstract
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Background:
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, caused by incomplete obliteration of the vitelline duct. The incidence of this true diverticulum of the small intestine is 2% of general population, the risk of complications is 4 to 6% .
Case presentation
We report a case of 52-years old man, who presented to emergency department with 2-days history of right-sided abdominal pain, localized muscle guarding and fever. Contrast enhanced computed tomography of abdomen revealed a perforated Meckel's diverticulum with the formation of intra-abdominal abscess, which was confirmed later during laparoscopic exploration. The abscess was drained and perforated Meckel’s diverticulum was identified approximately 80 cm proximal to ileocecal valve. Diverticulectomy was performed with endostapler. The postoperative course was uneventful and the patient was discharged on the 6th postoperative day.
Conclusions
Meckel’s diverticulum perforation is rare, but clinically significant serious complication. The diagnosis is often difficult because this condition can mimic other acute abdominal pathologies and early recognition must occur in order to provide the best outcome. Diverticulectomy is the standard of care and laparoscopic approach seems to be safe and effective modality.
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, caused by incomplete obliteration of the vitelline duct. The incidence of this true diverticulum of the small intestine is 2% of general population, the risk of complications is 4 to 6% .
Case presentation
We report a case of 52-years old man, who presented to emergency department with 2-days history of right-sided abdominal pain, localized muscle guarding and fever. Contrast enhanced computed tomography of abdomen revealed a perforated Meckel's diverticulum with the formation of intra-abdominal abscess, which was confirmed later during laparoscopic exploration. The abscess was drained and perforated Meckel’s diverticulum was identified approximately 80 cm proximal to ileocecal valve. Diverticulectomy was performed with endostapler. The postoperative course was uneventful and the patient was discharged on the 6th postoperative day.
Conclusions
Meckel’s diverticulum perforation is rare, but clinically significant serious complication. The diagnosis is often difficult because this condition can mimic other acute abdominal pathologies and early recognition must occur in order to provide the best outcome. Diverticulectomy is the standard of care and laparoscopic approach seems to be safe and effective modality.
Background:
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, caused by incomplete obliteration of the vitelline duct. The incidence of this true diverticulum of the small intestine is 2% of general population, the risk of complications is 4 to 6% .
Case presentation
We report a case of 52-years old man, who presented to emergency department with 2-days history of right-sided abdominal pain, localized muscle guarding and fever. Contrast enhanced computed tomography of abdomen revealed a perforated Meckel's diverticulum with the formation of intra-abdominal abscess, which was confirmed later during laparoscopic exploration. The abscess was drained and perforated Meckel’s diverticulum was identified approximately 80 cm proximal to ileocecal valve. Diverticulectomy was performed with endostapler. The postoperative course was uneventful and the patient was discharged on the 6th postoperative day.
Conclusions
Meckel’s diverticulum perforation is rare, but clinically significant serious complication. The diagnosis is often difficult because this condition can mimic other acute abdominal pathologies and early recognition must occur in order to provide the best outcome. Diverticulectomy is the standard of care and laparoscopic approach seems to be safe and effective modality.
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, caused by incomplete obliteration of the vitelline duct. The incidence of this true diverticulum of the small intestine is 2% of general population, the risk of complications is 4 to 6% .
Case presentation
We report a case of 52-years old man, who presented to emergency department with 2-days history of right-sided abdominal pain, localized muscle guarding and fever. Contrast enhanced computed tomography of abdomen revealed a perforated Meckel's diverticulum with the formation of intra-abdominal abscess, which was confirmed later during laparoscopic exploration. The abscess was drained and perforated Meckel’s diverticulum was identified approximately 80 cm proximal to ileocecal valve. Diverticulectomy was performed with endostapler. The postoperative course was uneventful and the patient was discharged on the 6th postoperative day.
Conclusions
Meckel’s diverticulum perforation is rare, but clinically significant serious complication. The diagnosis is often difficult because this condition can mimic other acute abdominal pathologies and early recognition must occur in order to provide the best outcome. Diverticulectomy is the standard of care and laparoscopic approach seems to be safe and effective modality.
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