Meckel's diverticulum with small bowel obstruction presenting as appendicitis in a pediatric patient.
BACKGROUND
Meckel's diverticulum is a congenital anomaly resulting from incomplete obliteration of the omphalomesenteric duct. The incidence ranges from 0.3% to 2.5% with most patients being asymptomatic. In some cases, complications involving a Meckel's diverticulum may mimic  other disease processes and obscure the clinical picture.


METHODS
This case presents an 8-year-old male with abdominal pain, nausea, and vomiting and an examination resembling appendicitis.


RESULTS
A CT scan revealed findings consistent with appendicitis with dilated  loops of small bowel. During laparoscopic appendectomy, the appendix appeared unimpressive, and an inflamed Meckel's diverticulum was found with an adhesive band creating an internal hernia with small bowel obstruction. The diverticulum was resected after the appendix was removed.


CONCLUSIONS
The incidence of an internal hernia with a Meckel's diverticulum is rare. A diseased Meckel's diverticulum can be overlooked in many cases, especially in those resembling appendicitis. It is recommended that the small bowel be assessed in all appendectomy cases for a pathological Meckel's  diverticulum.
sameermohiuddin@gmail.com
S Sameer
SS
Mohiuddin
Adolfo
A
Gonzalez
Cynthia
C
Corpron
D001064:Appendicitis / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology*; D007421:Intestine, Small; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000175:diagnosis*