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BMJ Case Reports 2018; doi:10.1136/bcr-2018-224751
  • Images in…

Unique presentation of a ruptured Meckel’s diverticulum after blunt trauma

  1. Sampath Kumar
  1. Department of Surgery, NYU Langone Hospital - Brooklyn, Brooklyn, New York, USA
  1. Correspondence to Dr Kevin Bain, kevin.bain{at}nyumc.org
  • Accepted 1 May 2018
  • Published 16 May 2018

Description 

A 25-year-old man with no significant medical or surgical history presented with a complaint of thick, dark drainage from a periumbilical wound for 1 month (figure 1). He reported first noticing the drainage several days after bumping into the corner of a machine at work. He was seen by his primary care physician and prescribed oral antibiotics for persistent drainage and erythema; however, his symptoms failed to improve.

Figure 1

Chronic umbilical wound sustained after blunt abdominal trauma, with drainage of a thick, dark fluid for 1 month.

On presentation to the emergency department, the patient was afebrile and haemodynamically stable. Lab work was within normal limits. An abdominal CT scan demonstrated a loculated periumbilical fluid collection, with extension intraperitoneally into a portion of thickened small bowel with suspicion of an enterocutaneous fistula (figure 2).

Figure 2

Loculated periumbilical fluid collection approximately 3.8×2.2×3.4 cm. An intraperitoneal portion …

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