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Case Reports in Surgery
Volume 2013, Article ID 825628, 3 pages
http://dx.doi.org/10.1155/2013/825628
Case Report

Perforated Meckel’s Diverticulum Lithiasis: An Unusual Cause of Peritonitis

1Department of General and Transplant Surgery, Derriford Hospital, Plymouth PL6 8DH, UK
2Royal Cornwall Hospital, Truro TR1 3LJ, UK
3St George Hospital, London SW17 0QT, UK
4Sri Laxmi Hospital, Tirupattur 635601, India

Received 31 March 2013; Accepted 19 May 2013

Academic Editors: M. Ganau, H. Kobayashi, S. Landen, S. P. Saha, and Y.-B. Tang

Copyright © 2013 Umasankar Mathuram Thiyagarajan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Meckel’s diverticulum is the commonest congenital malformation of gastrointestinal tract and represents a persistent remnant of the omphalomesenteric duct. Although it mostly remains silent, it can present as bleeding, perforation, intestinal obstruction, intussusception, and tumours. These complications, especially bleeding, tend to be more common in the paediatric group and intestinal obstruction in adults. Stone formation (lithiasis) in Meckel’s diverticulum is rare. We report a case of Meckel’s diverticulum lithiasis which presented as an acute abdomen in an otherwise healthy individual. The patient underwent an exploratory laparotomy which revealed a perforated Meckel’s diverticulum with lithiasis; a segmental resection with end-to-end anastomosis of small bowel was performed. Patient recovery was delayed due to pneumonia, discharged on day 20 with no further complications at 6 months following surgery.