title: [Meckel lithiasis. A rare complication of a Meckel's diverticulum].
abstract: METHODS
  Acute abdominal pain, radiating to the right and left lower abdomen with pain on abdominal pressure developed in a 67-year-old man. There were questionable signs of peritonitis.
  
  
  METHODS
  Leukocytosis (20,000/microliter) and a high level of C-reactive protein (177 mg/l) were found. Ultrasound and computed tomography were suggestive of a stone in a Meckel's diverticulum.
  
  
  METHODS
  This diagnosis was confirmed at surgery and there were no other abnormalities. The diverticulum with stone was resected and the patient made an uneventful recovery.
  
  
  CONCLUSIONS
  A stone in a Meckel's diverticulum, although rare, should be included in the differential diagnosis of acute abdomen with radiological evidence of calcification in the lower abdomen. The possibility of this rare complication raises the question of prophylactic resection of Meckel's diverticulum, even when it is merely an incidental finding.
authors.affiliation: Chirurgische Abteilung, St. Claraspital Basel.
authors.forename: P
authors.initials: P
authors.lastname: Esslinger
authors.forename: U
authors.initials: U
authors.lastname: Herzog
authors.forename: C
authors.initials: C
authors.lastname: Looser
authors.forename: P
authors.initials: P
authors.lastname: Tondelli
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000368:Aged; D002097:C-Reactive Protein / Q000032:analysis; D002137:Calculi / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007964:Leukocytosis / Q000209:etiology; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D002097:C-Reactive Protein
vernacular_title: Meckellith. Seltene Komplikation eines Meckel-Divertikels.