Perforated Meckel’s diverticulum in a young male patient: a case report

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Abstract

The case of a 26-year-old male patient with perforation of Meckel’s diverticulum, a rare complication of the most common congenital anomaly of the gastrointestinal tract, is reported in this article. This congenital condition can remain asymptomatic for a long time, and it can get complicated with diverticulitis, enteroliths, neoplasms, and rarely perforation, as in this case.

A preoperative radiological assessment is of fundamental importance for proper diagnostic and therapeutic management of the patient. In this article, we present the typical tomographic imaging features of this infrequent complication to assist radiologists in detecting it.

About the authors

Umberto Tupputi

Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital

Email: umbertotupputi@yahoo.it
ORCID iD: 0000-0002-0384-5864

MD

Italy, Foggia; Foggia

Francesca Anna Carpagnano

Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital

Email: c.francesca1991@gmail.com
ORCID iD: 0000-0001-7681-2898

MD

Italy, Foggia; Foggia

Rossella Carpentiere

Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital

Email: rossellacarpentiere@gmail.com
ORCID iD: 0000-0001-7821-5675

MD

Italy, Foggia; Foggia

Giuseppe Guglielmi

Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital; Radiology Unit, Hospital “Casa Sollievo Della Sofferenza”, San Giovanni Rotondo

Author for correspondence.
Email: giuseppe.guglielmi@unifg.it
ORCID iD: 0000-0002-4325-8330

MD, Professor

Italy, Foggia; Foggia; Foggia

References

  1. Kotha VK, Khandelwal A, Saboo SS, et al. Radiologist’s perspective for the Meckel’s diverticulum and its complications. Br J Radiol. 2014;87(1037):20130743. doi: 10.1259/bjr.20130743
  2. Meckel JF. 1809 Uber die divertikel am darmkanal. Arch Physiol. 1809;9:421–453.
  3. Levy AD, Hobbs CM. From the archives of the AFIP. Meckel diverticulum: radiologic features with pathologic Correlation. Radiographics. 2004;24(2):565–587. doi: 10.1148/rg.242035187
  4. Clark JK, Paz DA, Ghahremani GG. Imaging of Meckel’s diverticulum in adults: pictorial essay. Clin Imaging. 2014;38(5):557–564. doi: 10.1016/j.clinimag.2014.04.020
  5. Blouhos K, Boulas KA, Tsalis K, et al. Meckel’s Diverticulum in Adults: Surgical Concerns. Front Surg. 2018;5:55. doi: 10.3389/fsurg.2018.00055
  6. Shimagaki T, Konishi K, Kawata K., et al. A case of perforation of Meckel’s diverticulum with enterolith. Surg Case Rep. 2020;6(1):161. doi: 10.1186/s40792-020-00926-6

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2. Fig. 1. Computed tomography of the abdominal cavity without contrast: blindly ending intestinal loop (arrows) in the right quadrant of the abdomen with concomitant mesentery edema and mesadenitis on the coronal (a) and axial (b) sections.

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3. Fig. 2. Computed tomography of the abdominal cavity after administration of contrast agent: intensive contrast enhancement of the intestinal wall on axial (a) and sagittal (b) sections at the level of the same blindly ending loop (arrows), free gas located in the anterior abdominal cavity.

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Copyright (c) 2022 Tupputi U., Carpagnano F.A., Carpentiere R., Guglielmi G.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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