title: Meckel's diverticular perforation presenting as acute abdomen in the second trimester of pregnancy.
abstract: Meckel's diverticular perforation is a rare cause of acute abdomen during pregnancy. We report the case of a 24-year-old woman at 24 weeks of gestation who presented with abdominal pain for 4 days accompanied with abdominal distension, tenderness and guarding in right lower quadrant. Ultrasonography was inconclusive. The patient underwent exploratory laparotomy with the clinical suspicion of appendicular perforation peritonitis. Intraoperatively, a perforated Meckel's diverticulum was detected. Owing to gross contamination of the peritoneal cavity, a diverticulectomy with ileostomy was performed. She had a normal full-term vaginal delivery, and ileostomy was reversed 1 month after delivery. The physiological and anatomical changes in pregnancy can make a straightforward clinical diagnosis difficult. A high index of suspicion is required to prevent delay in diagnosis and surgical intervention, which could prove detrimental to the mother and fetus.
authors: Department of General Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
authors: Z
authors: Z
authors: Ahmed
authors: Department of General Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
authors: S
authors: S
authors: Chhabra
authors: Department of General Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
authors: J
authors: J
authors: Kankaria
authors: Department of General Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
authors: R K
authors: RK
authors: Jenaw
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000328:Adult; D002429:Cecal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D007080:Ileocecal Valve; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008467:Meckel Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011262:Pregnancy Trimester, Second