tailieunhanh - Báo cáo y học: "Open Access Perforation of Meckel's diverticulum caused by a chicken bone: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Perforation of Meckel's diverticulum caused by a chicken bone: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Perforation of Meckel s diverticulum caused by a chicken bone a case report Kim W Chan Address Department of General Surgery Royal Blackburn Hospital Blackburn BB2 3EZ UK Email Kim W Chan - Published 3 February 2009 Received 16 February 2008 Journal of Medical Case Reports 2009 3 48 doi 1752-1947-3-48 Accepted 3 February 2009 This article is available from http content 3 l 48 2009 Chan licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Meckel s diverticulum represents a true diverticulum of the ileum containing all three layers of the bowel wall and is found on the wall of the distal ileum usually about 2 feet from the ileocaecal valve. Although Meckel s diverticulum is a common congenital abnormality of the gastrointestinal tract it is often difficult to diagnose. Patients with perforation of Meckel s diverticulum may present with right iliac fossa pain which mimics acute appendicitis. Case presentation A 17-year-old man presented with a 3-day history of lower abdominal pain. On examination the patient had tenderness in his right iliac fossa. A provisional diagnosis of acute appendicitis was made. The patient was taken to theatre for laparoscopy with the option of appendicectomy. The appendix was found to be normal. An inflamed and perforated Meckel s diverticulum was found to be the cause of the abdominal pain. Meckel s diverticulectomy was performed. The patient made an uneventful recovery and was discharged with further follow-up in the outpatient clinic. Conclusion Complications of Meckel s diverticulum can be fatal and early recognition leads to appropriate management. This .