title: Meckel's diverticulum perforated by a fishbone. An unusual presentation.
abstract: Finding a Meckel's diverticulum during a laparotomy is rare, operating on a patient for a complication of diverticulum is rare, but if this complication is the result of a perforation of the diverticulum by a foreign body, then we are in the presence of a medical curiosity.
  
  
  OBJECTIVE
  To present the following case because despite being known, the etiological agent that caused the perforation is very unusual.
  
  
  METHODS
  male 53 years old with a history of emergency surgically underwent surgery for acute appendicitis 10 years where he underwent an appendectomy and a non-complicated Meckel's diverticulum was identified. For the record, the clinical picture and complementary examinations Meckel diverticulitis was diagnosed and we decided to intervene with surgically emergency. During surgery a Meckel's diverticulum perforated by a fishbone was identified. Segmental bowel resection and an ileo-ileoanastomosis performed manually.
  
  
  CONCLUSIONS
  Meckel's diverticulum perforated by fishbone is extremely rare. Its diagnosis is challenging because of their variable clinical presentation.
authors.affiliation: Servicio Cirugia General, Hospital Celia Sanchez Manduley, Cuba.
authors.forename: Fernando Karel
authors.initials: FK
authors.lastname: Fonseca Sosa
mesh_terms: D001842:Bone and Bones; D004238:Diverticulitis / Q000175:diagnosis / Q000209:etiology*; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008467:Meckel Diverticulum; D008875:Middle Aged; D017747:Seafood