Perforation of a Meckel's diverticulum caused by ingestion of a coin.
A 25-year-old woman ingested a quarter. Three days later, lower abdominal pain, fever, chills, and physical findings compatible with pelvic inflammatory disease developed. Radiographic examination showed the coin in the middle pelvis. Persistent abdominal complaints, abnormal physical examination, and failure of the coin to progress through the gastrointestinal tract despite conservative management led to surgical intervention. Exploration revealed an inflammatory process in the posterior uterine culde-sac with multiple omental, small bowel, and uterine adhesions due to perforation of a Meckel's diverticulum. Excision of the Meckel's diverticulum was done, and the patient recovered satisfactorily.
Halverson
J M
JM
Department of Surgery, Riverside Regional Medical Center, Newport News, VA.
Butterman
M K
MK
Legier
J F
JF
Mann
W J
WJ
Hoefer
R A
RA
D000328:Adult; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000473:pathology; D007082:Ileum; D007410:Intestinal Diseases / Q000209:etiology; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology; D008467:Meckel Diverticulum / Q000473:pathology*; D009852:Omentum / Q000473:pathology; D000292:Pelvic Inflammatory Disease / Q000209:etiology; D000267:Tissue Adhesions / Q000209:etiology