Meckel's diverticulum perforation by a wooden toothpick in a child: A case report

Perforation of Meckel's diverticulum (MD) by ingested foreign body (FB) is an extremely uncommon cause of acute abdomen in children. We report on a 13-year-old boy who presented with right iliac fossa pain associated with anorexia, tenderness, guarding and rebound tenderness. Abdominal ultrasou...

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Bibliographic Details
Main Authors: Abdulhafidh Kadhi (Author), Stanley Crankson (Author), Saud Al Jadaan (Author)
Format: Book
Published: Elsevier, 2020-01-01T00:00:00Z.
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Summary:Perforation of Meckel's diverticulum (MD) by ingested foreign body (FB) is an extremely uncommon cause of acute abdomen in children. We report on a 13-year-old boy who presented with right iliac fossa pain associated with anorexia, tenderness, guarding and rebound tenderness. Abdominal ultrasound showed findings of acute appendicitis. However, laparoscopy revealed a wooden toothpick perforating MD and a hyperemic appendix. The FB was removed and laparoscopic diverticulectomy and appendectomy performed. Perforation of MD by a FB is a diagnostic challenge and it should be included in the differential diagnosis of acute abdomen in children.
Item Description:2213-5766
10.1016/j.epsc.2019.101322