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Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case
We are reporting a successful laparoscopic resection of a perforated Meckel's Diverticulum (MD) causing localized peritonitis due to an impacted gallstone. MD is a small benign pouch on the wall of the small intestine that is present in ∼2% of the population. It results from a failure of comple...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3855276/ https://www.ncbi.nlm.nih.gov/pubmed/24968430 http://dx.doi.org/10.1093/jscr/rjt097 |
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author | Maclean, William Szentpáli, Karoly |
author_facet | Maclean, William Szentpáli, Karoly |
author_sort | Maclean, William |
collection | PubMed |
description | We are reporting a successful laparoscopic resection of a perforated Meckel's Diverticulum (MD) causing localized peritonitis due to an impacted gallstone. MD is a small benign pouch on the wall of the small intestine that is present in ∼2% of the population. It results from a failure of complete obliteration of the omphalomesenteric duct. MD is mainly lined by ileal mucosa; however, other ectopic tissue types can be found including gastric, duodenal, colonic, pancreatic, Brunner's glands, hepatobiliary tissue and endometrial mucosa. Most reported complications include bleeding, infection and obstruction. With relevance to this report, we can find no more than two reports of a large gallstone impacting the neck of the MD and causing ileus, and we were unable to find any reports that mention perforation due to impaction at the neck of an MD. |
format | Online Article Text |
id | pubmed-3855276 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-38552762013-12-10 Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case Maclean, William Szentpáli, Karoly J Surg Case Rep Case Reports We are reporting a successful laparoscopic resection of a perforated Meckel's Diverticulum (MD) causing localized peritonitis due to an impacted gallstone. MD is a small benign pouch on the wall of the small intestine that is present in ∼2% of the population. It results from a failure of complete obliteration of the omphalomesenteric duct. MD is mainly lined by ileal mucosa; however, other ectopic tissue types can be found including gastric, duodenal, colonic, pancreatic, Brunner's glands, hepatobiliary tissue and endometrial mucosa. Most reported complications include bleeding, infection and obstruction. With relevance to this report, we can find no more than two reports of a large gallstone impacting the neck of the MD and causing ileus, and we were unable to find any reports that mention perforation due to impaction at the neck of an MD. Oxford University Press 2013-12 2013-12-04 /pmc/articles/PMC3855276/ /pubmed/24968430 http://dx.doi.org/10.1093/jscr/rjt097 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com. |
spellingShingle | Case Reports Maclean, William Szentpáli, Karoly Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case |
title | Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case |
title_full | Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case |
title_fullStr | Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case |
title_full_unstemmed | Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case |
title_short | Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case |
title_sort | large gallstone impaction at a meckel's diverticulum causing perforation and localized peritonitis: report of a case |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3855276/ https://www.ncbi.nlm.nih.gov/pubmed/24968430 http://dx.doi.org/10.1093/jscr/rjt097 |
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