Recognizing perforated Meckel's diverticulum: A crucial differential in acute appendicitis imitation

Key Clinical Message Meckel's diverticulitis (MD) mimics acute appendicitis with right lower abdominal pain. Clinicians must consider MD in acute abdomen cases to avoid diagnostic delays. Perforated MD can lead to serious complications. Timely use of advanced imaging and surgical assessment is...

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Main Authors: Faiza Azeema Shaikh, Dilip Vasant KA, Humaira Shaikh, Malik Olatunde Oduoye
Format: Article
Language:English
Published: Wiley 2024-09-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.9361
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author Faiza Azeema Shaikh
Dilip Vasant KA
Humaira Shaikh
Malik Olatunde Oduoye
author_facet Faiza Azeema Shaikh
Dilip Vasant KA
Humaira Shaikh
Malik Olatunde Oduoye
author_sort Faiza Azeema Shaikh
collection DOAJ
description Key Clinical Message Meckel's diverticulitis (MD) mimics acute appendicitis with right lower abdominal pain. Clinicians must consider MD in acute abdomen cases to avoid diagnostic delays. Perforated MD can lead to serious complications. Timely use of advanced imaging and surgical assessment is essential for accurate diagnosis and management. Abstract Meckel's diverticulum (MD) is a gastrointestinal congenital anomaly that signifies a persistent remnant of the omphalomesenteric duct. While frequently asymptomatic, its complications vary widely, ranging from mild and painless to potentially life‐threatening conditions. This is a case of a 4‐year‐old female patient with sudden abdominal pain and tenderness, with an elusive cause before surgery. The definitive diagnosis of a perforated MD was established during diagnostic laparoscopy due to worsening symptoms. Detecting MD and its potential complications requires a high degree of suspicion. Once recognized, prompt management is essential to prevent further complications. Although perforation is uncommon in MD, its symptoms can mimic acute appendicitis, confusing emergency settings. This article underscores the significance of diagnosing MD, despite its rarity, and emphasizes the necessity for swift treatment upon identification.
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spelling doaj-art-ed6a8e264e1648938f877e204f6dfaab2024-12-12T10:13:45ZengWileyClinical Case Reports2050-09042024-09-01129n/an/a10.1002/ccr3.9361Recognizing perforated Meckel's diverticulum: A crucial differential in acute appendicitis imitationFaiza Azeema Shaikh0Dilip Vasant KA1Humaira Shaikh2Malik Olatunde Oduoye3Department of General Surgery SVS Medical College Yenugonda IndiaDepartment of General Surgery SVS Medical College Yenugonda IndiaShadan Institute of Medical Science and Research Hyderabad IndiaThe Medical Research Circle (MedReC) Goma Democratic Republic of CongoKey Clinical Message Meckel's diverticulitis (MD) mimics acute appendicitis with right lower abdominal pain. Clinicians must consider MD in acute abdomen cases to avoid diagnostic delays. Perforated MD can lead to serious complications. Timely use of advanced imaging and surgical assessment is essential for accurate diagnosis and management. Abstract Meckel's diverticulum (MD) is a gastrointestinal congenital anomaly that signifies a persistent remnant of the omphalomesenteric duct. While frequently asymptomatic, its complications vary widely, ranging from mild and painless to potentially life‐threatening conditions. This is a case of a 4‐year‐old female patient with sudden abdominal pain and tenderness, with an elusive cause before surgery. The definitive diagnosis of a perforated MD was established during diagnostic laparoscopy due to worsening symptoms. Detecting MD and its potential complications requires a high degree of suspicion. Once recognized, prompt management is essential to prevent further complications. Although perforation is uncommon in MD, its symptoms can mimic acute appendicitis, confusing emergency settings. This article underscores the significance of diagnosing MD, despite its rarity, and emphasizes the necessity for swift treatment upon identification.https://doi.org/10.1002/ccr3.9361acute appendicitiscongenitalMeckel's diverticulumpediatricsperforationperitonitis
spellingShingle Faiza Azeema Shaikh
Dilip Vasant KA
Humaira Shaikh
Malik Olatunde Oduoye
Recognizing perforated Meckel's diverticulum: A crucial differential in acute appendicitis imitation
Clinical Case Reports
acute appendicitis
congenital
Meckel's diverticulum
pediatrics
perforation
peritonitis
title Recognizing perforated Meckel's diverticulum: A crucial differential in acute appendicitis imitation
title_full Recognizing perforated Meckel's diverticulum: A crucial differential in acute appendicitis imitation
title_fullStr Recognizing perforated Meckel's diverticulum: A crucial differential in acute appendicitis imitation
title_full_unstemmed Recognizing perforated Meckel's diverticulum: A crucial differential in acute appendicitis imitation
title_short Recognizing perforated Meckel's diverticulum: A crucial differential in acute appendicitis imitation
title_sort recognizing perforated meckel s diverticulum a crucial differential in acute appendicitis imitation
topic acute appendicitis
congenital
Meckel's diverticulum
pediatrics
perforation
peritonitis
url https://doi.org/10.1002/ccr3.9361
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AT humairashaikh recognizingperforatedmeckelsdiverticulumacrucialdifferentialinacuteappendicitisimitation
AT malikolatundeoduoye recognizingperforatedmeckelsdiverticulumacrucialdifferentialinacuteappendicitisimitation