Ruptured Meckel's diverticulum with ectopic gastric and panc
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Meckel's Diverticulum in adults commonly presents with inflammation, small bowel obstruction, and perforation. The recommendation for the treatment of a symptomatic Meckel's diverticulum is surgical resection.

A Meckel's diverticulum is a rare but known cause of an acute abdomen and can often be confused for acute appendicitis on physical examination. It is caused by an incomplete closure of the omphalomesenteric duct. It is present in 2% of the population and only 2% of those patients are symptomatic.

This is the case of a sixty-four-year-old male who presented to the surgical clinic at the request of his primary care physician with concern for acute appendicitis. The patient had a CT A/P with IV contrast performed two days prior to his office visit for the same pain which was non-diagnostic.

The patient was taken to the operating room and found to have Meckel's Diverticulitis which was managed by laparoscopic hand-assisted small bowel resection and anastomosis. The patient had an uncomplicated postoperative course. Pathology demonstrated ulcerated gastric mucosa and pancreatic tissue.

Symptomatic Meckel's diverticulum is managed with small bowel resection versus diverticulectomy based on characteristics of the diverticulum. The most common type of ectopic tissue is gastric followed by pancreatic. It is rare to find both types of tissue together.

International Journal of Surgery Case Reports
Source: https://doi.org/10.1016/j.ijscr.2021.105994
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