alexa Case Report: A Necrotic Giant Meckel´s Diverticu
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Case Report: A Necrotic Giant Meckel´s Diverticulum

Bolier EA1*, Sierink JC2 and Den Boer FC2

1Academic Medical Center Amsterdam, University of Amsterdam, Netherlands

2Department of Surgery, Zaans Medical Center, Netherlands

*Corresponding Author:
Bolier EA
Academic Medical Center Amsterdam
University of Amsterdam
Netherlands
Tel: +31 20 525 9111
E-mail: [email protected]

Received date: September 16, 2015; Accepted date: May 13, 2016; Published date: May 17, 2016

Citation: Bolier EA, Sierink JC, Den Boer FC (2016) Case Report: A Necrotic Giant Meckel´s Diverticulum. J Clin Case Rep 6: 799. doi: 10.4172/2165-7920.1000799

Copyright: © 2016 Bolier EA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Although a Meckel’s Diverticulum is the most common congenital malformation of the gastro-intestinal tract, it mostly is discovered by chance and remains asymptomatic. However, a Meckel’s Diverticulum can cause multiple complications with an incidence range of 4-16 per cent. In this case report, we present a patient at the emergency ward with symptoms of acute abdominal pain in the epigastric region. Laboratory findings showed elevated infection parameters and an abdominal computerized tomography scan revealed fat infiltration around a structure suspected to be a Meckel’s Diverticulum. At emergency laparotomy, we found a fully necrotic giant Meckel’s Diverticulum. As presented in our case, clinical decision making at the emergency ward remains challenging. Therefore, multiple factors should be considered and may lead to decision for an emergency laparotomy as a diagnostic and therapeutic tool.

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