Year 2017 / Volume 109 / Number 5
Letter to the Editor
Meckel’s diverticulum perforated by a fishbone. An unusual presentation

394-395

DOI: 10.17235/reed.2017.4614/2016

Fernando Karel Fonseca Sosa,

Abstract
Finding a Meckel's diverticulum during a laparotomy is rare, operating on a patient for a complication of diverticulum is rare, but if this complication is the result of a perforation of the diverticulum by a foreign body, then we are in the presence of a medical curiosity. Objective: To present the following case because despite being known, the etiological agent that caused the perforation is very unusual. Method: male 53 years old with a history of emergency surgically underwent surgery for acute appendicitis 10 years where he underwent an appendectomy and a non-complicated Meckel's diverticulum was identified. For the record, the clinical picture and complementary examinations Meckel diverticulitis was diagnosed and we decided to intervene with surgically emergency. During surgery a Meckel's diverticulum perforated by a fishbone was identified. Segmental bowel resection and an ileo-ileoanastomosis performed manually. Conclusions: Meckel's diverticulum perforated by fishbone is extremely rare. Its diagnosis is challenging because of their variable clinical presentation.
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References
1. Vásquez M, Ríos JM. Divertículo de Meckel perforado: presentación de un caso. Revista Médico Científica[Internet].2010[citado 16 Jun 2016];19(2):100-5 Google Scholar
2. Farah RH, Avala P, Khaiz D, et al. Spontaneous perforation of Meckel's diverticulum: a case report and review of literature. The Pan African medical journal [Internet]. 2015[citado 16 Jun 2016];20:319 Google Scholar
3. Rosabal Estacio JE, Morales González RA, Fernández Gautier M, et al. Divertículo de Meckel perforado por cuerpo extraño: Presentación de 1 caso. Revista Cubana de Cirugía[Internet].2002[citado 16 Jun 2016];41(1):59-61. Google Scholar
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Publication history

Received: 11/09/2016

Accepted: 06/10/2016

Online First: 27/02/2017

Published: 03/05/2017

Article Online First time: 169 days

Article editing time: 234 days


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