A Perforated Meckel's Diverticulum Simulating Appendicular Peritonitis in a Case Report

Meckel's diverticulum is the partial persistence of the omphalo mesenteric duct. Its complications are rare. The diagnosis is most often per operative. We report the case of a 54-year-old patient admitted to the emergency room for a peritonitis picture. The clinical examination showed a generalized abdominal tenderness, the abdominal scan showed a tumified appendix in a retro caecal position measuring 12 mm in maximum thickness with a small amount of effusion.

During the operation we found a perforated Meckel's diverticulum which is responsible for peritonitis, the patient benefited from a segmental bowel resectionwith an ileostomy.The Post-operative follow-up was normal and the patient was discharged on day 3 postop. The anatomopathological examination of the surgical specimen showed an inflammatory aspect without signs of malignancy, one month after the operation the patient benefited from a restoration of the ileal continuity.