[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-455732-105":59,"doc-detail-455732-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","perforated-meckels-diverticulum-in-an-adult-that-resembles-acute-appendicitis-a-case-report-and-review-of-literature","Perforated Meckel's Diverticulum in an Adult that Resembles Acute Appendicitis - A Case Report and Review of Literature","","Perforation of Meckel's diverticulum is an uncommon complication and may present clinically like acute appendicitis. A 34-year-old woman developed three days of right iliac fossa pain, nausea, and vomiting without fever; examination showed rebound tenderness. Ultrasound revealed a heterogeneous avascular lesion in the left iliac fossa, and CT demonstrated a hypodense lesion adjacent to bowel with inflammatory changes. Laparoscopic exploration confirmed perforated Meckel's diverticulum with phlegmon formation and the patient recovered uneventfully.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/perforated-meckels-diverticulum-in-an-adult-that-resembles-acute-appendicitis-a-case-report-and-review-of-literature/455732/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/perforated-meckels-diverticulum-in-an-adult-that-resembles-acute-appendicitis-a-case-report-and-review-of-literature/455732.png","ImageObject",300,407,{"name":92,"@type":93},"Valentina","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-07","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why can perforated Meckel's diverticulum resemble acute appendicitis?","Question",{"text":112,"@type":113},"Perforation is a rare effect of Meckel's diverticulum and may clinically mimic acute appendicitis symptoms. The case highlights the diagnostic challenge when inflammatory abdominal pain is present.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What imaging findings supported the final diagnosis in this case?",{"text":117,"@type":113},"Ultrasound showed a heterogeneous lesion in the left iliac fossa measuring 5 cm × 3.5 cm × 4 cm with no internal vascularity. CT demonstrated a hypodense lesion left of midline inseparable from small bowel with inflammatory surrounding changes.",{"name":119,"@type":110,"acceptedAnswer":120},"What confirmed the diagnosis and what was the outcome?",{"text":121,"@type":113},"Laparoscopic exploration provided an intraoperative diagnosis of perforated Meckel’s diverticulum with phlegmon formation. The patient had an uneventful recovery.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},455732,1790897498,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},13056703020460,"https://ap-avatar.wpscdn.com/avatar/be000253dac470eee5d?_k=1778207105932848923","[1573-4056/25](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)[ Send Orders for Reprints to](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)[ ](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)[reprints@benthamscience.net](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)  \n1  \nCurrent Medical Imaging  \nContent list available at: [https://benthamscience.com/journals/cmir](https://benthamscience.com/journals/cmir)  \nCASE REPORT  \nPerforated Meckel's Diverticulum in an Adult that Resembles Acute Appendicitis: A Case Report and Review of Literature  \nNoha Bakhsh1,* and Mai Banjar2  \n1Department of Internal Medicine, Division of Radiology, Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia 2Medical Imaging Department, King Abdullah Medical Complex, Jeddah, Saudi Arabia  \nAbstract:  \nBackground:  \nPerforation is one of the rarest effects of Meckel's diverticulum and may clinically resemble acute appendicitis.  \nCase Report:  \nA 34-year-old woman with pain in the right iliac fossa, nausea, and vomiting for three days was brought to the emergency department. An abdominal examination indicated rebound tenderness in the area of the right iliac fossa. Abdominal ultrasound showed a heterogeneous lesion in the left iliac fossa measuring 5 cm × 3.5 cm × 4 cm with no internal vascularity. Abdominal Computed Tomography (CT) demonstrated ahypodense lesion located left of the midline of the abdomen, which was inseparable from the small bowel at the antimesenteric border. Laparoscopic exploration was performed, and an intraoperative diagnosis of perforated Meckel’s diverticulum with phlegmon formation was made. The patient had an uneventful recovery.  \nConclusion:  \nRadiologists should be aware of the possibility of complicated Merkel's diverticulum when encountering cases of acute abdominal pain. If there is a lower abdominal inflammatory process and a normal appendix is identified, there should be a high degree of suspicion when examining the CT  \nscan.  \nKeywords: Meckel's diverticulum (MD), Adult, Perforation, Case report, Imaging, ultrasound.  \n\n| Article History | Received: May 22, 2024 | Revised: October 17, 2024 | Accepted: October 25, 2024 |\n| --- | --- | --- | --- |\n\n1. INTRODUCTION  \nThe most common congenital gastrointestinal tract malformation is Meckel's Diverticulum (MD), which affects 2% of the population and poses a 4.2–6.4% risk of problems [1] . German anatomist John Meckel first reported the condition in 1809 [2] . This condition is described using the well-known“rule of 2s”, which refers to its 2% occurrence, its distance of 2 feet away from the ileocecal valve, its length of 2 inches, involvement of one or two kinds of heterotopic pancreatic or stomach tissue, and typical symptoms occurring by the time a child is 2 years old [3] .  \nChildren are more likely to have MD symptoms, but adults  \n* Address correspondence to this author at the Department of Internal Medicine, Division of Radiology, Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia; Tel: +966 540520599; [E-mail: nbakhsh2006@gmail.com](E-mail: nbakhsh2006@gmail.com)  \nmay also experience complications, including bleeding in 11. 8% of cases, intestinal obstruction in 36. 5%, inflammation in 12.7%, intussusception in 13.7%, and neoplasm in 3.2% . Perforation has been found to be the cause of 0. 5% of symptomatic diverticulum cases, although it is extremely uncommon [4 - 6] . Asymptomatic MD has no known sex propensity, but males are more likely than females to experience symptomatic MD [7] .  \n2. CASE PRESENTATION  \nA 34-year-old woman with pain in the right iliac fossa, nausea, and vomiting for three days, but no fever was brought to the emergency department. She had undergone a left salpingectomy 8 years prior due to an ectopic pregnancy. The patient was conscious, alert, and oriented during the physical examination. An abdominal examination indi","cbCaih9IMvvs17fC","https://ap.wps.com/l/cbCaih9IMvvs17fC","pdf",6722420,"English","# Abstract\n# Introduction\n# Case Presentation","[{\"question\":\"Why can perforated Meckel's diverticulum resemble acute appendicitis?\",\"answer\":\"Perforation is a rare effect of Meckel's diverticulum and may clinically mimic acute appendicitis symptoms. The case highlights the diagnostic challenge when inflammatory abdominal pain is present.\"},{\"question\":\"What imaging findings supported the final diagnosis in this case?\",\"answer\":\"Ultrasound showed a heterogeneous lesion in the left iliac fossa measuring 5 cm × 3.5 cm × 4 cm with no internal vascularity. CT demonstrated a hypodense lesion left of midline inseparable from small bowel with inflammatory surrounding changes.\"},{\"question\":\"What confirmed the diagnosis and what was the outcome?\",\"answer\":\"Laparoscopic exploration provided an intraoperative diagnosis of perforated Meckel’s diverticulum with phlegmon formation. The patient had an uneventful recovery.\"}]","Perforated Meckel's Diverticulum in an Adult that Resembles Acute Appendicitis - A Case Report and Review of Literature | PDF",1790744050,18]