title: Perforation of Meckel's diverticulum by an intact fish bone.
abstract: Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, with an overall incidence of approximately 2.2%. It is generally noted incidentally during laparotomy for management of other abdominal pathology. Complications are infrequent, developing in 4% of individuals with this abnormality, and are usually seen in childhood. Herein, we discuss the case of a 52-year-old Caucasian man presenting with a 1-day history of worsening central and right-sided abdominal pain. Initial evaluation posed a broad differential however, following conservative measures and unremarkable plain films, the patient developed peritoneal signs necessitating operative intervention. During diagnostic laparoscopy, a Meckel's diverticulum was noted to be inflamed and perforated by an intact fish bone. The patient was treated successfully with a segmental resection and primary anastomosis, and had an uneventful postoperative recovery.
authors: Department of General Surgery, Saint Joseph Mercy Health System, Ann Arbor, Michigan, USA. nmouawad@gmail.com
authors: Nicolas J
authors: NJ
authors: Mouawad
authors: Stephen
authors: S
authors: Hammond
authors: Christodoulos
authors: C
authors: Kaoutzanis
mesh_terms: D000818:Animals; D003937:Diagnosis, Differential; D005399:Fishes; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000293:injuries*; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008875:Middle Aged; D014057:Tomography, X-Ray Computed