Divertículo de Meckel perfurado por palito: Relato de caso clínico

  • A. Goulart Interno de Formação Específica de Cirurgia Geral do Hospital de Braga, Portugal
  • R. Pereira Assistente Hospitalar Graduado de Cirurgia Geral do Hospital de Braga, Portugal
  • P. Leão Interno de Formação Específica de Cirurgia Geral do Hospital de Braga, Portugal
  • C. Gomes Assistente Hospitalar Graduado de Cirurgia Geral do Hospital de Braga, Portugal
  • A. Carvalho Assistente Hospitalar Sénior de Cirurgia Geral do Hospital de Braga, Portugal

Abstract

Meckel’s diverticulum is the most common congenital anomaly of the small intestine and one of the many differential diagnoses of right lower quadrant pain. We describe a case of a 38-year-old woman who came to our emergency department with abdominal symptoms suggestive of acute appendicitis but, during surgery, it was found to be a Meckel’s diverticulum perforated by a toothpick. This case alerts to the need of looking for other causes of pain in the lower right quadrant before a grossly normal-looking ileo-cecal appendix, and to the fact that, if Meckel’s diverticulum is found to be one of the causes, the best technique for surgical resection must be considered, based on the patient’s clinical state and morphologic characteristics of the diverticulum.

Keywords: Meckel diverticulum, perforation, toothpick 

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Published
2011-06-29
How to Cite
GOULART, A. et al. Divertículo de Meckel perfurado por palito: Relato de caso clínico. Revista Portuguesa de Cirurgia, [S.l.], n. 17, p. 41-44, june 2011. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/95>. Date accessed: 17 june 2024.
Section
Clinical Case