Журнал клинических случаев

Case Report: A Necrotic Giant Meckel´s Diverticulum

Abstract

Bolier EA, Sierink JC and Den Boer FC

Although a Meckel’s Diverticulum is the most common congenital malformation of the gastro-intestinal tract, it mostly is discovered by chance and remains asymptomatic. However, a Meckel’s Diverticulum can cause multiple complications with an incidence range of 4-16 per cent. In this case report, we present a patient at the emergency ward with symptoms of acute abdominal pain in the epigastric region. Laboratory findings showed elevated infection parameters and an abdominal computerized tomography scan revealed fat infiltration around a structure suspected to be a Meckel’s Diverticulum. At emergency laparotomy, we found a fully necrotic giant Meckel’s Diverticulum. As presented in our case, clinical decision making at the emergency ward remains challenging. Therefore, multiple factors should be considered and may lead to decision for an emergency laparotomy as a diagnostic and therapeutic tool.