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J Korean Assoc Pediatr Surg. 2015 Dec;21(2):38-41. English. Case Report. https://doi.org/10.13029/jkaps.2015.21.2.38
Lee DW , Cho SW , Lee SH , Kang DB , Yu ST .
Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea. yudoc@wonkwang.ac.kr
Department of General Surgery, Wonkwang University School of Medicine, Iksan, Korea.
Abstract

The perforation and subsequent panperitonitis as one of the complications of a Meckel diverticulum is a rare complication, especially in infants. Complication of Meckel diverticulum, preoperative and operative patient's mean age is about 5 years old. A 13-month-old male infant presented at our emergency room with currant jelly stool of about 24 hours duration. Intussusception or bacterial enteritis was initially suspected. Gastrointestinal ultrasonography showed no evidence of intussusception or appendicitis. On the 3rd hospital day, he suddenly showed high fever and irritability. Abdominal CT suggested intraperitoneal and retroperitoneal abscess with air collection due to possible bowel perforation. The final diagnosis of perforation of Meckel diverticulum was made by laparoscopy and biopsy. We report a very rare case with perforation of Meckel diverticulum in infant period.

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