Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal (GI) tract. It presents most frequently in patients under two years of age and more rarely in later adulthood. Complications of Meckel's diverticulum are even less common and can be difficult to distinguish from other more common abdominal pathologies due to nonspecific signs and symptoms. As a result, less common disease presentations, such as Meckel's diverticulitis with perforation, can be difficult to diagnose preoperatively, especially in the adult population. We discuss a case of a patient who presented with symptoms of acute appendicitis, which was later revealed to be Meckel's diverticulum complicated by Meckel's diverticulitis with localized perforation.
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| http://dx.doi.org/10.7759/cureus.78737 | DOI Listing |
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Demystifying Meckel's diverticulum - a guide for the gastroenterologist.
Curr Opin Gastroenterol
March 2025
Academic Unit of Gastroenterology, Royal Hallamshire Hospital.
Purpose Of Review: Meckel's diverticulum (MD) is a common congenital ileal diverticulum. Whilst mostly asymptomatic, 4-9% develop complications, such as small bowel obstruction, diverticulitis or bleeding. In 1933, Charles Mayo wrote that MD is 'frequently suspected, often looked for and seldom found', and it continues to pose a diagnostic challenge today.
View Article and Find Full Text PDFMeckel's diverticulum is the most common congenital anomaly of the gastrointestinal (GI) tract. It presents most frequently in patients under two years of age and more rarely in later adulthood. Complications of Meckel's diverticulum are even less common and can be difficult to distinguish from other more common abdominal pathologies due to nonspecific signs and symptoms.
View Article and Find Full Text PDFAn unusual hidden secret of a Meckel's diverticulum: a rare case of small bowel adenocarcinoma.
Acta Gastroenterol Belg
February 2025
Department of Gastroenterology, UZ Leuven, Leuven, Belgium.
A Meckel's diverticulum (MD) is the most prevalent congenital anomaly of the gastro-intestinal tract and the life-long risk for complications is estimated to be around 4%, mostly resulting in bleeding, obstruction, diverticulitis or intussusception. Although rare, about 3.1-5.
View Article and Find Full Text PDFClinical manifestations of Meckel's diverticulum and analytical distinction with appendicitis: a 20-year diagnostic study.
Rev Esp Enferm Dig
February 2025
General and Digestive Surgery, Hospital Universitario de Navarra, España.
While approximately 90% of Meckel's diverticula are asymptomatic, they can manifest with a wide spectrum of complications with a mortality rate of 0.001%. The differential diagnosis is broad, with appendicitis being the main consideration when diverticulitis is the presenting symptom.
View Article and Find Full Text PDFDouble whammy: Acute suppurative appendicitis on top of Meckel's diverticulum.
Radiol Case Rep
April 2025
Faculty of medicine, Misr university for science and technology, Giza 12566, Egypt.
Meckel's diverticulum (MD), a congenital abnormality occurring in 0.3% to 3% of individuals, shares overlapping clinical features with acute appendicitis (AA), a common surgical emergency, making simultaneous presentation diagnostically challenging. An 11-year-old boy presented with right lower abdominal pain, fever, and loss of appetite, exhibiting positive Rovsing and Psoas signs.
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