A case of retroperitoneal abscess: A rare complication of Meckel's diverticulum

초록

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. © 2017 The Authors

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