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Subacute Meckel’s diverticulum perforation
  1. Alberto Robles Méndez Hernández1,
  2. Oscar Alejandro Mora-Torres2,
  3. Hugolino Andrade Lopez1 and
  4. Jorge Alfonso Perez Castro Y Vazquez1
  1. 1General Surgery, Hospital Angeles Metropolitano, Mexico City, Mexico
  2. 2General Surgery, Hospital Angeles Lomas, Huixquilucan, Estado de México, Mexico
  1. Correspondence to Dr Alberto Robles Méndez Hernández; albertormh01{at}gmail.com

Abstract

Meckel’s diverticulum is the most common intestinal congenital defect, its prevalence is 0.2%–4.0% and it occurs more commonly in children younger than 2-year old with intestinal bleeding and abdominal pain. Perforation in the elderly is very rare with no more than 35 articles reported worldwide. Here we report the case of a 62-year-old man who was admitted to hospital with a history of acute abdominal pain with a 20-day onset. The patient was treated with laparotomy and 30 cm ileal resection was performed for an 8×5 cm perforated ileum tumour at 50 from ileocecal valve with a side-to-side mechanical anastomosis for reconstruction. Having morbidity Clavien-Dindo scale I in postsurgical and good outcome in 6-month follow-up. Meckel’s diverticulum is an infrequent pathology in paediatric and even rarer in adult population, however, it is always important to keep in mind how to act when is seen either as a finding or as a complication.

  • gastrointestinal surgery
  • general surgery

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Footnotes

  • Contributors ARMH, HAL, OAM-T and JAPCYV—they made surgery and took care of patient during hospitalisation and follow-up.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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