Abstract | INTRODUCTION: CASE PRESENTATION: A 29-year-old Nigerian Igbo man presented with progressively worsening abdominal pain following a road traffic accident. He was a front-seat passenger traveling without a seat belt. On physical examination his abdomen was distended with guarding and rigidity. A provisional diagnosis of peritonitis secondary to perforation of intestinal viscus was made. Our patient had an emergency laparotomy, where a perforated Meckel's diverticulum was discovered. A segmental resection of his ileum and reanastomosis were done. He had postoperative surgical site infection, but was asymptomatic for three months of follow-up. CONCLUSION: Perforation of Meckel's diverticulum is rarely suspected as a cause of peritonitis following blunt abdominal injury. This case indicates the need to be aware of the possibility to limit morbidity associated with delayed management of such a perforation.
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Authors | Christopher N Ekwunife, Tobechi N Mbadugha, Udonna N Ogbue |
Journal | Journal of medical case reports
(J Med Case Rep)
Vol. 8
Pg. 111
(Apr 02 2014)
ISSN: 1752-1947 [Electronic] England |
PMID | 24693872
(Publication Type: Case Reports, Journal Article)
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Topics |
- Abdominal Injuries
(complications)
- Adult
- Humans
- Intestinal Perforation
(etiology, surgery)
- Male
- Meckel Diverticulum
(etiology, surgery)
- Wounds, Nonpenetrating
(complications)
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