Divertículo de Meckel perfurado por palito: Relato de caso clínico

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