title: Meckel's diverticulitis: a rare entity of Meckel's diverticulum.
abstract: Meckel's diverticulum is the most common congenital abnormality of the small intestine that results from incomplete closure of the vitelline (omphalo-mesenteric) duct. This true diverticulum, ~2 ft from the ileocecal valve commonly found on the anti-mesenteric border of the ileum, is benign and majority asymptomatic. Diagnosis challenges arise when it became inflamed or presented in following ways, for example, haemorrhage (caused by ectopic pepsin-and hydrochloric acid-secreting gastric mucosa), intestinal obstruction (secondary to intussusception or volvulus) or the presence of diverticulum in the hernia sac (Littre's hernia). We report a case of a 59-year-old male who was admitted under the surgical service at Blackpool Victoria Hospital with suspected appendicitis that turned out to be a Meckel's diverticulitis, a rare presentation of an acute abdomen. We discuss the issues involved in his investigation and management as well as perform a literature review comparing different surgical approaches.
authors.affiliation: Department of General Surgery, Blackpool Teaching Hospital NHS Foundation Trust, Blackpool, UK s1220738@ed-alumni.net.
authors.forename: Chee S
authors.initials: CS
authors.lastname: Wong
authors.affiliation: Department of General Surgery, Blackpool Teaching Hospital NHS Foundation Trust, Blackpool, UK.
authors.forename: Leanne
authors.initials: L
authors.lastname: Dupley
authors.affiliation: Department of Radiology, Blackpool Teaching Hospital NHS Foundation Trust, Blackpool, UK.
authors.forename: Haren N
authors.initials: HN
authors.lastname: Varia
authors.affiliation: Department of Histopathology, Blackpool Teaching Hospital NHS Foundation Trust, Blackpool, UK.
authors.forename: Darek
authors.initials: D
authors.lastname: Golka
authors.affiliation: Department of General Surgery, Blackpool Teaching Hospital NHS Foundation Trust, Blackpool, UK.
authors.forename: Thu
authors.initials: T
authors.lastname: Linn