Perforated mesenteric Meckel's diverticulum in an adult: a real variant?
A Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. It is a real diverticulum that is usually located on the anti-mesenteric edge in the last meter of the ileum. Its location on the mesenteric edge has been rarely reported. It may lead to several complications including perforation that may be life-threatening for the patient. We report herein a case of perforated mesenteric Meckel's diverticulum in an adult patient. Upon surgical exploration by laparotomy, we found a perforated Meckel's diverticulum located on the mesenteric edge of the ileum 60 cm from the ileocoecal junction and 400 ml of seropurulent peritoneal fluid. The patient underwent a segmental ileal resection and an end-to-end anastomosis. The postoperative outcomes were marked by a persistent peritonitis that required successful revision surgery.
Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal laminegueye269@gmail.com.
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Gueye
Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
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Thiam
Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
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Seck
Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
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Gueye
Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
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Toure
Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
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Cisse
Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
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Ka
Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
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Dieng
Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
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Toure