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A case of retroperitoneal abscess: A rare complication of Meckel’s diverticulum

INTRODUCTION: The frequent complications of Meckel’s diverticulum are hemorrhage, intestinal obstruction, and inflammation, and perforation. The presentation as a retroperitoneal abscess as complications of Meckel’s diverticulum is a very rare clinical entity. PRESENTATION OF CASE: We report a rare...

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Detalles Bibliográficos
Autores principales: Hong, Jeana, Park, Sung Bae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742015/
https://www.ncbi.nlm.nih.gov/pubmed/29078157
http://dx.doi.org/10.1016/j.ijscr.2017.10.012
Descripción
Sumario:INTRODUCTION: The frequent complications of Meckel’s diverticulum are hemorrhage, intestinal obstruction, and inflammation, and perforation. The presentation as a retroperitoneal abscess as complications of Meckel’s diverticulum is a very rare clinical entity. PRESENTATION OF CASE: We report a rare case of perforated Meckel's diverticulum with retroperitoneal abscess. A 31-year-old presented with a half-hour history of severe epigastric pain and diffuse periumbilical pain. Abdominal computed tomography (CT) revealed pneumoperitoneum and retroperitoneal abscesses which air, with diffuse infiltration of the small bowel mesentery and a tubular structure that originated in the ileum at the umbilicus level. Preoperative diagnosis was perforation of Meckel's diverticulum or small bowel perforation. We performed an approximate 10-cm segmental resection of the ileum that contained the Meckel’s diverticulum. DISCUSSION: Retroperitoneal abscesses are rare complications of Meckel’s diverticulum and are associated with its perforation. CONCLUSION: The complications of Meckel’s diverticulum should be kept in mind in the differential diagnosis of retroperitoneal abscesses.