Meckel's diverticulum can present with unusual symptoms and signs leading to delay diagnosis. Herein, we report a case of a 48-year-old Chinese man who presented to us for symptom of acute appendicitis. Further investigation by computed tomography scan pelvis showed acutely inflamed medium sized diverticulum at the distal ileum with focal perforation and peritonitis. Laparoscopy showed perforated meckel's diverticulitis with a fish bone half perforated out and localised abscess formation. He had unremarkable post-operative course. We review the literature about complication of Meckel's diverticulum and the necesssity of surgical removal.
StoneP.A., HofeldtM.J., CamphellJ.E., VedulaG., DeLucaJ.A., FlahertyS.K.Meckel's diverticulum: ten-year experience in adults.South Med J2004; 97(11): 1038–41.
2.
Sagar102490791702400209J, KumarV., ShahD.K.Meckel's diverticulum: a systemic review.J R Soc Med2006, 99(10): 501–5.
3.
PollaR.Adjunctive procedure in intestinal surgery. Mastery of surgery, fifth edition, edited by FischerJ.E.. Lippincott Williams & Wilkins2007, pp 1392–3.
4.
DumperJ., MackenzieS., MitchellP., SutherlandF., QuanM.L., MewD.Complications of Meckel's diverticula in adults.Can J Surg2006; 49(5): 353–7.
5.
WongJ.H., SuhailiD.N., KokK.Y.Fish bone perforation of Meckel's diverticulum: a rare event?Asian J Surg2005; 28(4): 295–6.
6.
MaresA.J., FinalyR., MordechaiJ., MotovicA.Pantaloon phytobezoar: an unusual cause of intestinal obstruction associated with Meckel's diverticulum.Isr J Med Sci1993; 29(11): 683–5.
7.
SolteroM.J., BillA.H.The natural history of Meckel's diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel's diverticulum found in King Country, Washington, over a fifteen year period.Am J Surg1976; 132(2): 168–73.
8.
MackeyW.C., DineenP.A fifty year experience with Meckel diverticulum.Surg Gynecol Obstet1983; 156(1): 56–64.
9.
YamaguchiM., TakeuchiS., AwazuS.Meckel diverticulu. Investigation of 600 patients in the Japanese literature.Am J Surg1978; 136(2): 247–9.
10.
CullenJ.J., KellyK.A., MoirC.R., HodgeD.O., ZinsmeisterA.R., Melton LJ 3rd. Surgical management of Meckel's diverticulum. An epidemiologic, population-bases study.Ann Surg1994; 220(4): 564–9.
11.
ParkJ.J., WolffB.G., TollefsonM.K., WalshE.E., LarsonD.R.Meckel diverticulum: The Mayo Clinic experience with 1476 patients (1950-2002).Ann Surg2005; 241(3): 529–33.
12.
RobijnJ., SebrechtsE., MiserezM.Management of incidentally found Meckel's diverticulum a new approach: resection based on a risk score.Acta Chir Belg2006; 106(4): 467–70.
