title: Spontaneous perforation of Meckel's diverticulum: a case report and review of literature.
abstract: Meckel's diverticulum is the commonest congenital abnormality of the gastrointestinal tract. Hemorrhage, obstruction and inflammation are the three main categories of complications resulting from Meckel's diverticulum. Spontaneously perforation of Meckel's diverticulum is very rare and mimics acute appendicitis. We report a case of 26 year-old male, who presented since 5 days worsening abdominal pain predominantly in the right iliac fossa associated with high grade fever. On physical examination his abdomen was distended with guarding and rigidity. A provisional diagnosis of appendiculaire peritonitis was made. Our patient had an emergency laparotomy, where a perforated Meckel's diverticulum and advanced peritonitis were discovered. A diverticulectomy with ileostomy were performed. Heterotopic mucosa of diverticulitis was confirmed on histopathology. The patient made an uneventful recovery postoperatively and ileostomy reconstruction was done two months later. This case report is an interesting and unusual case of Meckel's diverticulum complications and highlights the importance of considering Meckel's diverticulum as a differential diagnosis in every patient presenting with acute abdomen.
authors.affiliation: Service des Urgences de Chirurgie Viscérale, Pavillon 35, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Robleh Hassan
authors.initials: RH
authors.lastname: Farah
authors.affiliation: Service des Urgences de Chirurgie Viscérale, Pavillon 35, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Prude
authors.initials: P
authors.lastname: Avala
authors.affiliation: Service des Urgences de Chirurgie Viscérale, Pavillon 35, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Driss
authors.initials: D
authors.lastname: Khaiz
authors.affiliation: Service des Urgences de Chirurgie Viscérale, Pavillon 35, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Fatmazahra
authors.initials: F
authors.lastname: Bensardi
authors.affiliation: Service des Urgences de Chirurgie Viscérale, Pavillon 35, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Khalid
authors.initials: K
authors.lastname: Elhattabi
authors.affiliation: Service des Urgences de Chirurgie Viscérale, Pavillon 35, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Rachid
authors.initials: R
authors.lastname: Lefriyekh
authors.affiliation: Service des Urgences de Chirurgie Viscérale, Pavillon 35, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Saad
authors.initials: S
authors.lastname: Berrada
authors.affiliation: Service des Urgences de Chirurgie Viscérale, Pavillon 35, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Abdelaziz
authors.initials: A
authors.lastname: Fadil
authors.affiliation: Service des Urgences de Chirurgie Viscérale, Pavillon 35, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Najib Ouariti
authors.initials: NO
authors.lastname: Zerouali
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology; D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D007416:Intestinal Perforation / Q000175:diagnosis / Q000601:surgery; D007813:Laparotomy; D008297:Male; D008467:Meckel Diverticulum / Q000473:pathology* / Q000601:surgery; D010538:Peritonitis / Q000175:diagnosis* / Q000209:etiology
keywords: Acute appendicitis; Meckel′s diverticulum (MD); Perforation; Peritonitis