A case of retroperitoneal abscess: A rare complication of Meckel's diverticulum. (2017)

• Record Type: Journal Article
• Authors: Hong, Jeana; Park, Sung Bae
• Is Part Of: International journal of surgery case reports. Volume 41(2017)
• Page Start: 150
• Page End: 153
• Publication Date: 2017
• Subjects: Meckel' diverticulum -- Complications -- Retroperitoneal abscess; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2017.10.012
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Meckel' diverticulum is the most common congenital anomaly of the small intestine. It is a relatively not rare disease in the clinical field. But the presentation as a retroperitoneal abscess as complications of Meckel's diverticulum is a very rare clinical entity. In this report, . We present a 31-year-old man with perforated Meckel's divertculum with retroperitoneal abscess. I also reviewed other disease of retroperitoneal abscess. (As I known as, This case report is the first report including review of retroperitoneal abscess). Abstract: Introduction: The frequent complications of Meckel's diverticulum are hemorrhage, intestinal obstruction, and inflammation, and perforation. The presentation as a retroperitoneal abscess as complications of Meckel's diverticulum is a very rare clinical entity. Presentation of case: We report a rare case of perforated Meckel's diverticulum with retroperitoneal abscess. A 31-year-old presented with a half-hour history of severe epigastric pain and diffuse periumbilical pain. Abdominal computed tomography (CT) revealed pneumoperitoneum and retroperitoneal abscesses which air, with diffuse infiltration of the small bowel mesentery and a tubular structure that originated in the ileum at the umbilicus level. Preoperative diagnosis was perforation of Meckel's diverticulum or small bowel perforation. We performed an approximate 10-cm segmental resection of the ileum that contained the Meckel's diverticulum. Discussion: Retroperitoneal abscesses are rare complications of Meckel's diverticulum and are associated with its perforation. Conclusion: The complications of Meckel's diverticulum should be kept in mind in the differential diagnosis of retroperitoneal abscesses.