Asian Journal of Case Reports in Surgery

Multiple Stones inside a Secondary Diverticulum at the Tip of Meckel’s Diverticulum: A Case Report

Mohamed M. Elgeldawy *

Department of General Surgery, Al-Adan Hospital, Kuwait.

M. Al Merry

Department of General Surgery, Al-Adan Hospital, Kuwait.

Haytham Ramzy

Department of General Surgery, Al-Adan Hospital, Kuwait.

*Author to whom correspondence should be addressed.

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Abstract

It is very rare to see cases of perforation of Meckel’s diverticulum containing faecolith. In this case, we have a patient with a secondary diverticulum at the tip of a Meckel’s diverticulum containing several stones. We present a case of a 31-year-old man who was previously healthy and complained of lower abdominal pain associated with vomiting and fever. Abdominal multi-detector CT with intravenous and oral contrast showed a well-defined collection close to the terminal ileum containing several stones and contrast. Diagnostic Laparoscopy was done which was converted to laparotomy and resection of a small part of the terminal ileum containing the Meckel’s diverticulum with its secondary diverticulum and anastomosis was done.

Keywords: Meckel’s diverticulum, congenital diverticulum, secondary diverticulum, laparoscopy and enterolith

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