Zhang Q, Xu XJ, Ma J, Zhang YM. Misdiagnosed Meckel's diverticulum with internal hernia mimicking appendicitis: A case report. World J Clin Cases 2024; 12(20): 4391-4396 [DOI: 10.12998/wjcc.v12.i20.4391]
Corresponding Author of This Article
Ya-Ming Zhang, BMed, MD, PhD, Doctor, Surgeon, Surgical Oncologist, Department of General Surgery, Anqing Municipal Hospital, No. 352 Renmin Road, Anqing 246000, Anhui Province, China. zhangyaming2014@163.com
Research Domain of This Article
Medicine, General & Internal
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 16, 2024; 12(20): 4391-4396 Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4391
Misdiagnosed Meckel's diverticulum with internal hernia mimicking appendicitis: A case report
Qi Zhang, Xiu-Juan Xu, Jun Ma, Ya-Ming Zhang
Qi Zhang, Jun Ma, Ya-Ming Zhang, Department of General Surgery, Anqing Municipal Hospital, Anqing 246000, Anhui Province, China
Xiu-Juan Xu, Department of Critical Medicine, Anqing Municipal Hospital, Anqing 246000, Anhui Province, China
Author contributions: Zhang Q and Ma J completed the surgery; Zhang YM revised the article; Zhang Q and Xu XJ wrote the manuscript. All authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient to publish this paper.
Conflict-of-interest statement: The authors declare having no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ya-Ming Zhang, BMed, MD, PhD, Doctor, Surgeon, Surgical Oncologist, Department of General Surgery, Anqing Municipal Hospital, No. 352 Renmin Road, Anqing 246000, Anhui Province, China. zhangyaming2014@163.com
Received: March 27, 2024 Revised: May 10, 2024 Accepted: May 23, 2024 Published online: July 16, 2024 Processing time: 94 Days and 18 Hours
Abstract
BACKGROUND
Meckel's diverticulum is a common congenital anomaly of the gastrointestinal tract, with a higher incidence rate in children under 7 years old. The condition is characteristically asymptomatic but may become a clinical concern when complications such as intestinal obstruction, bleeding, perforation, or diverticulitis precipitate acute abdominal presentations.
CASE SUMMARY
This report describes the case of a middle-aged man initially suspected of having acute appendicitis, which rapidly progressed to acute peritonitis with concomitant intestinal obstruction observed during preoperative assessment. Surgical exploration confirmed the diagnosis of Meckel's diverticulum-induced internal hernia, accompanied by intestinal obstruction and necrosis. In addition, the hernial ring base exhibited entrapment resembling a surgical knot.
CONCLUSION
Meckel's diverticulum is a rare cause of small bowel obstruction in adults, and it should be considered in a differential diagnosis.
Core Tip: Meckel's diverticulum is occasionally encountered in clinical practice, but the formation of internal hernias in Meckel's diverticulum is extremely rare, requiring clinical doctors to be good at differential diagnosis and adopt correct treatment strategies.
