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International Journal of Morphology

On-line version ISSN 0717-9502

Abstract

MOORTHY, Sujatha Narayana  and  ARCOT, Rekha. In an Ileal Diverticulum (Meckel's Diverticulum) - Gastric Perforation: Report of a Fatal Case. Int. J. Morphol. [online]. 2010, vol.28, n.4, pp.1273-1276. ISSN 0717-9502.  http://dx.doi.org/10.4067/S0717-95022010000400045.

The ileal diverticulum (Meckel's diverticulum) is a congenital outpouching located in the distal ileum which occurs due to the failure of obliteration of the yolk stalk. The peak age in which this anomaly is mostly found is the pediatric age especially below the age of two. Hence it is noted as an uncommon cause of intestinal obstruction and fatality in adult life. We present a case of a 26 year old man with abdominal pain and vomiting for 6 days associated fever for 3 days. Emergency laparotomy revealed ileal diverticulitis with small bowel obstruction. Ileal diverculectomy with ileal resection and ileoileal anastamosis was performed. However, the patient developed renal dysfunction leading to Multiorgan Dysfunction Syndrome and died on the fourth post operative day. This anatomic anomaly is rare in adult patients and is difficult to diagnose early due to its bizarre presentation resulting in high mortality in them. Hence we find this case of interest.

Keywords : Ileal diverticulum; Meckel's diverticulum; Gastric ectopic rest; Adults; Death.

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