Slow-release potassium and perforation of Meckel's diverticulum.
A case of peritonitis following perforation of gastric-type mucosa in a Meckel's diverticulum is described. At laparotomy a wax core of a combined diuretic-slow-release potassium preparation was found extruding through the perforation and a further pellet was found free in the peritoneal cavity. Intestinal perforation due to potassium-containing drugs is recognized and led to the development of enteric-coated and slow-release delivery systems. The association of perforation of Meckel's diverticulum with a slow-release potassium perforation has not previously been described.
Layer
G T
GT
Department of Surgery, Poole General Hospital, Dorset, UK.
Scott-Jupp
R H
RH
Maitra
T K
TK
Darke
S G
SG
D000368:Aged; D003692:Delayed-Action Preparations; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000139:chemically induced*; D008467:Meckel Diverticulum; D011188:Potassium / Q000009:adverse effects*
D003692:Delayed-Action Preparations; D011188:Potassium