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http://dx.doi.org/10.1136/wjps-2024-000770DOI Listing

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Enteroenteric fistula in the pediatric age group is an unusual presentation. It can create a diagnostic dilemma for the physician, particularly in the absence of any previous surgery, prolonged abdominal symptoms, or inflammatory bowel disease. The patient is a 10-year-old girl who presented with mild-grade fever, abdominal distension, scanty stool passage, and foul-smelling vomiting for the past 10 days.

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Meckel's diverticulum, a congenital anomaly of the omphalomesenteric duct, is a rare cause of acute abdomen and poses significant diagnostic challenges due to its variable presentation and complications such as perforation. We present the case of a 19-year-old male with a 24-hour history of right iliac fossa pain progressing to generalized abdominal tenderness. Laboratory results showed leukocytosis and elevated C-reactive protein, while CT imaging suggested pneumoperitoneum and an inflamed Meckel diverticulum.

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Perforated Meckel's Diverticulum in an Adult that Resembles Acute Appendicitis: A Case Report and Review of the Literature.

Curr Med Imaging

January 2025

Medical Imaging Department, King Abdullah Medical Complex, Jeddah, Saudi Arabia.

Background: Perforation is one of the rarest effects of Meckel's diverticulum and may clinically resemble acute appendicitis.

Case Report: A 34-year-old woman with pain in the right iliac fossa, nausea, and vomiting for three days was brought to the emergency department. An abdominal examination indicated rebound tenderness in the area of the right iliac fossa.

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Article Synopsis
  • Meckel's diverticulum is a congenital gastrointestinal issue that can cause various problems; this case highlights a rare microperforation within it.
  • A 31-year-old male experienced significant right lower quadrant pain and fever, initially suspected to be appendicitis, but ultrasound was inconclusive.
  • A CT scan revealed a microperforation, and while he was treated conservatively at first, laparoscopic surgery later confirmed the diverticulum's presence, demonstrating effective management options for such complications.
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