PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr09.2009.2308.
Published online Mar 30, 2010. doi:  10.1136/bcr.09.2009.2308
PMCID: PMC3029149
Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
Perforation of Meckel’s diverticulum secondary to a large faecolith
Henry Ferguson, Soni Soumian, and Jan Dmitrewski
Department of General Surgery, Russells Hall Hospital, Pensnett Road, Dudley DY1 2HQ, UK
Correspondence to Henry Ferguson, fergusonh/at/doctors.org.uk
Abstract
A 79-year-old woman presented with a 4 day history of central abdominal pain and vomiting. Clinical examination revealed a distended abdomen with predominantly right sided tenderness. Following an initial period of supportive treatment pending further imaging, evolving abdominal signs became evident. Based on the suspicion of a perforated hollow viscus, an emergency laparotomy was carried out. Operative findings were of a Meckel’s diverticulum with evidence of pressure necrosis and perforation near its apex, which was distended due to a 6 cm faecolith. Resection and primary anastomosis was performed. Despite a lower respiratory tract infection, the patient was deemed clinically stable enough to be discharged on the 24th postoperative day.
Articles from BMJ Case Reports are provided here courtesy of
BMJ Group