A Case of Perforation of Meckel’s Diverticulum Penetrated Into Transverse Mesocolon

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  • Hashizume Naoki
    Department of Pediatric Surgery, Kurume University School of Medicine
  • Yagi Minoru
    Department of Pediatric Surgery, Kurume University School of Medicine
  • Asagiri Kimio
    Department of Pediatric Surgery, Kurume University School of Medicine
  • Fukahori Suguru
    Department of Pediatric Surgery, Kurume University School of Medicine
  • Saikusa Nobuyuki
    Department of Pediatric Surgery, Kurume University School of Medicine
  • Koga Yoshinori
    Department of Pediatric Surgery, Kurume University School of Medicine
  • Higashidate Naruki
    Department of Pediatric Surgery, Kurume University School of Medicine
  • Yoshida Motomu
    Department of Pediatric Surgery, Kurume University School of Medicine
  • Sakamoto Saki
    Department of Pediatric Surgery, Kurume University School of Medicine
  • Tanaka Yoshiaki
    Division of Medical Safety Management, Kurume University Hospital

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Other Title
  • 横行結腸間膜に癒着・穿破し診断に難渋したメッケル憩室穿孔の1 例
  • オウコウ ケッチョウ カンマク ニ ユチャク ・ センハシ シンダン ニ ナンジュウ シタ メッケル ケイシツセンコウ ノ 1レイ

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Abstract

An 11-year-old man was transferred to our hospital with complaints of upper abdominal pain. He had tenderness in the upper abdomen, and muscular defense over the whole abdomen. Peritonitis due to perforation of the duodenum was diagnosed based on the free air around the duodenum and dilated loop of small bowel in the contrast-enhanced computed tomography. On laparotomy, perforation of the Meckel’s diverticulitis located in transverse mesocolon was recognized. Partial resection of the ileum (including the diverticulum) and end-to-end anastomosis of the small intestine were performed. Pathological findings revealed that an ectopic gastric mucosa was observed in the diverticulum. We describe our experience with a difficult case of perforation of Meckel’s diverticulitis.

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