Perforation of Meckel's diverticulum by roundworm.
An 11-month-old girl child presented with distension of abdomen, constipation, vomiting and fever. X-ray of the abdomen suggested intestinal obstruction. Exploration revealed the distal ileum to be kinked around a band running from the tip of a congested Meckel's diverticulum to the lateral pelvic wall. A small perforation was noticed at the tip of the diverticulum and a live roundworm was found lying free in the peritoneal cavity. The diverticulum along with a segment of adjoining bowel was resected and end-to-end anastomosis done. The diverticulum had a wide lumen and showed no heterotopic tissue on subsequent examination.
Bhattacharjee
Prosanta Kumar
PK
Department of Surgery, North Bengal Medical College and Hospital, Susrutanagar, Darjeeling, West Bengal, India. prosantabh@rediffmail.com
Biswas
Probhas Chandra
PC
Ray
Debabrata
D
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000714:Anastomosis, Surgical; D000818:Animals; D005260:Female; D005500:Follow-Up Studies; D006373:Helminthiasis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D008467:Meckel Diverticulum / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome