Hong J, Park SB. A case of retroperitoneal abscess: A rare complication of Meckel's diverticulum.
Int J Surg Case Rep 2017;
41:150-153. [PMID:
29078157 PMCID:
PMC5742015 DOI:
10.1016/j.ijscr.2017.10.012]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Revised: 10/07/2017] [Accepted: 10/07/2017] [Indexed: 10/29/2022] Open
Abstract
INTRODUCTION
The frequent complications of Meckel's diverticulum are hemorrhage, intestinal obstruction, and inflammation, and perforation. The presentation as a retroperitoneal abscess as complications of Meckel's diverticulum is a very rare clinical entity.
PRESENTATION OF CASE
We report a rare case of perforated Meckel's diverticulum with retroperitoneal abscess. A 31-year-old presented with a half-hour history of severe epigastric pain and diffuse periumbilical pain. Abdominal computed tomography (CT) revealed pneumoperitoneum and retroperitoneal abscesses which air, with diffuse infiltration of the small bowel mesentery and a tubular structure that originated in the ileum at the umbilicus level. Preoperative diagnosis was perforation of Meckel's diverticulum or small bowel perforation. We performed an approximate 10-cm segmental resection of the ileum that contained the Meckel's diverticulum.
DISCUSSION
Retroperitoneal abscesses are rare complications of Meckel's diverticulum and are associated with its perforation.
CONCLUSION
The complications of Meckel's diverticulum should be kept in mind in the differential diagnosis of retroperitoneal abscesses.
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