Meckel’s diverticulum perforation into subumbilical median abdominal wall: a case report

Dario Oricchio; Giulia Russo; Riccardo Angeloni; Benedetto Battaglia; Andrea Sagnotta; Augusto Belardi; Luigi Solinas; Stefano Mancini

doi:10.23750/abm.v95i4.15347

Meckel’s diverticulum perforation into subumbilical median abdominal wall: a case report

Authors

Dario Oricchio Department of General and Oncology Surgery, S. Filippo Neri Hospital, Rome, Italy https://orcid.org/0000-0002-9657-4409
Giulia Russo Department of General and Oncology Surgery, S. Filippo Neri Hospital, Rome, Italy
Riccardo Angeloni Department of General and Oncology Surgery, S. Filippo Neri Hospital, Rome, Italy
Benedetto Battaglia Department of General and Oncology Surgery, S. Filippo Neri Hospital, Rome, Italy
Andrea Sagnotta Department of General and Oncology Surgery, S. Filippo Neri Hospital, Rome, Italy
Augusto Belardi Department of General and Oncology Surgery, S. Filippo Neri Hospital, Rome, Italy
Luigi Solinas Department of General and Oncology Surgery, S. Filippo Neri Hospital, Rome, Italy
Stefano Mancini Department of General and Oncology Surgery, S. Filippo Neri Hospital, Rome, Italy

DOI: https://doi.org/10.23750/abm.v95i4.15347

Keywords:

Meckel's diverticulum, Perforation

Abstract

Meckel's diverticulum is a congenital anomaly due to the lack of atrophy of the yolk duct. It’s typically located in the distal ileum, and it is made up of all three layers of the ileal wall. Surgical treatment is indicated for symptomatic cases. As far as asymptomatic patients are concerned, the option of performing surgery remains controversial and the possible presence of risk factors should be considered. We present a case report of a 59-year-old man who went to the emergency room reporting abdominal pain radiating to the lower quadrants. Contrast-enhanced abdomen computed tomography revealed the presence of a tubular structure with a thickened and contrast-enhanced wall; thus, a radiological diagnosis of Meckel's diverticulum was made. A laparoscopic surgical procedure was performed. The postoperative course was complicated by an abscess of the abdominal wall, which was healed thanks to ultrasound-guided drainage, surgical toilet, and targeted antibiotic therapy. The symptomatic diverticulum can be mistaken with appendicitis, in our case a preoperative diagnosis was possible, which allowed a surgical indication.

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