Spontaneous perforation of Meckel's diverticulum causing a partial small bowel obstruction: A case report
Keywords:Meckel's diverticulum, Perforation, Small bowel obstruction
Background: Meckel's diverticulum is a common congenital malformation in young children. Perforation of Meckel's diverticulum in a neonate is a rarity and poses diagnostic and management challenges.
Case Presentation: This patient is a former 26 5/7 week estimated gestational age infant who presented at 41 weeks corrected gestational age with abdominal distension and was discovered to have a perforated Meckel's diverticulum that presented as a partial small bowel obstruction. Resection of the involved bowel and ileo-ileal anastomosis was performed.
Conclusion: Small bowel obstructions should be considered as a potential presentation of a perforated Meckel's diverticulum.
Liaqat N, Mahomed A, Nayyar S, Akhtar N, Ali S, Haider N. Perforated Meckel's diverticulum in neonates: a report of six cases and systematic review of the literature. Ann Pediatr Surg. 2022; 18:1-9.
Aguayo P, Fraser JD, St. Peter SD, Ostlie DJ. Perforated Meckel's diverticulum in a micro premature infant and review of the literature. Pediatr Surg Int. 2009; 25:539-41.
Reddy SRR, Cappell MS. A systematic review of the clinical presentation, diagnosis, and treatment of small bowel obstruction. Current Gastroenterol Rep. 2017; 19:28.
Zahraa J, Abu-Ekteish F, Al Bassam A-R, Nosir AA. Perforated Meckel's diverticulum in a neonate mimicking necrotizing enterocolitis. Pediatr Emer Care. 2003; 19:418-9.
Federici S, De Biagi L. Long-term outcome of infants with NEC. Curr Pediatr Rev. 2019; 15:111-4.
Wang Y-jiao, Wang T, Xia S-lin, Zhang Y-cheng, Chen W-bing, Li B. Perforation of Meckel's diverticulum in a very low birth weight neonate with severe pneumoperitoneum and review of the literature. Turkish J Pediatr. 2019; 61:460.
McKelvie M, Soares-Oliveira M, Wang-Koh Y, Trayers C, Aslam A. Beware the innocent presentation of a spontaneous perforated Meckel diverticulum. Pediatric Emergency Care. 2019;35(12):881-883.
Chang Y, Lin J, Huang Y. Spontaneous perforation of Meckel's diverticulum without peritonitis in a newborn: report of a case. Surg Today. 2006; 37:1114-7.
Oyachi N, Takano K, Hasuda N, Arai H, Koshizuka K, Matsumoto M. Perforation of Meckel's diverticulum manifesting as aseptic peritonitis in a neonate: Report of a case. Surg Today. 2007; 37:881-3.
Donahue L. Spontaneous intestinal perforation. Neonatal Network. 2007; 26:335-51.
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