Perforated Meckel’s diverticulitis secondary to a corn kerne
Meckel’s diverticulum (MD) is the most common congenital malformation of the gastrointestinal tract. The most frequent complications are bleeding, intestinal obstruction, intussusception, and neoplasm. Perforation because of diverticulitis is very rare and usually associated with foreign bodies.

Researchers report a case of an elderly man who presented with right iliac fossa pain, raised inflammatory markers, and computer tomography (CT) scan suggestive of Meckel’s diverticulitis.

He underwent a laparoscopic conversation to open small bowel resection and primary anastomosis for perforated MD, which revealed a corn kernel at its base in the absence of ectopic gastric or pancreatic tissue.

Symptomatic and perforated MD secondary to a phytobezoar is extremely rare in elderly patients, hence the importance of clinical suspicion in patients with abdominal pain, independent from their age, to avoid delay in diagnosis, which can lead to increased morbidity and mortality in this demographic.

Although perforation of MD is rare, a missed diagnosis could lead to fatal consequences. Early suspicion and recognition are required for appropriate surgical management.

Journal of Surgical Case Reports