J Korean Surg Soc.  2011 Mar;80(3):234-237. 10.4174/jkss.2011.80.3.234.

Perforation of Meckel's Diverticulum by a Chicken Bone; Preoperatively Presenting as Bowel Perforation

• Chae HD

• KMID: 1963588
• DOI: http://doi.org/10.4174/jkss.2011.80.3.234

Abstract

Perforation of Meckel's diverticulum by foreign bodies is an extremely rare cause of acute abdomen in adults. We report a case of perforated Meckel's diverticulum by a chicken bone with localized abdominal abscess in a 46-year old man. The patient had been brought to the hospital with fever, abdominal pain and abdominal distention. On computed tomography, the mass-like lesion was considered to be an abdominal abscess caused by perforated bowel due to a suspicious foreign body. Resection of a segment of ileum including the perforated diverticulum was performed; the patient had an uncomplicated postoperative course and was discharged. We report this rare case of perforation of Meckel's diverticulum by a chicken bone with a review of the literature.

Keyword

Meckel's diverticulum; Perforation; Chicken bone

MeSH Terms

Abdomen, Acute
Abdominal Abscess
Abdominal Pain
Adult
Chickens*
Diverticulum
Fever
Foreign Bodies
Humans
Ileum
Meckel Diverticulum*

Figure

• 

  Fig. 1 Imaging study. Preoperative abdominal computed tomography (CT) shows an intra-abdominal mass, approximately 3 cm in diameter, which is assumed to be an abscess formation or mesenteric infiltration in the lower abdomen due to bowel perforation by a suspicious foreign body (arrow).

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  Fig. 2 Operative findings. (A) A perforated Meckel's diverticulum due to a foreign body approximately 100 cm proximal to the ileocecal valve (arrow). (B) An inflamed and perforated Meckel's diverticulum caused by a foreign body. (C) The extirpated foreign body is found to be a chicken bone (arrow head).

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  Fig. 3 Pathologic findings. Microscopic findings show the diverticular wall had inflamed small intestine mucosa (thin arrows), submucosal gastric glands (*) and pancreatic lobules (thick arrow) (H&E stain, ×20).

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