Near missed diagnosis of perforated Meckel’s diverticulitis in adult patient presenting with acute appendicitis: a case report

Abstract

Background: Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. It is found in approximately 2% of the general population with usually asymptomatic. The common complications are bleeding, diverticulitis and intestinal obstruction. Perforation is very rare complication but life threatening if missed diagnosis.

Case Presentation: We report an adult case presented with clinically diagnosed acute appendicitis. The patient underwent conventional appendectomy with an inflamed appendix. Before abdominal wall closure, an inspection revealed perforated MD at 60 cm proximal to the ileocecal valve. A subsequent diverticulectomy was performed. The patient recovered and was uneventfully discharged on the 6^th postoperative day.

Conclusions: Perforation is a very rare complication of MD. This case presented with secondary acute appendicitis cause perforation of MD due to fish fin. Two conditions may exist simultaneously, Meckel’s diverticular perforation could be aware and suspected in the patient present with acute appendicitis.

Keywords: Perforated Meckel’s diverticulum, Secondary acute appendicitis