Authors: A. Truong; J. Kizman; L. Truong Authors‘ workplace: Chirurgické oddělení, FN Plzeň Published in: Rozhl. Chir., 2026, roč. 105, č. 3, s. 142-145. Category: Case Report doi: https://doi.org/10.48095/ccrvch2026142
Meckel’s diverticulum is a congenital anomaly of the gastrointestinal tract that occurs in approximately 2% of the population. It is the result of incomplete obliteration of the vitelline duct (ductus omphaloentericus). During the fetal period, this duct connects the yolk sac with the primitive intestine and normally closes around the 5th–7th week of gestation. It is a true diverticulum because it contains all layers of the intestinal wall. Most diverticula are asymptomatic; however, they may lead to serious complications such as inflammation, perforation, obstruction, and bleeding. Our case report presents a case study of an 18-year-old patient who presented to the surgical outpatient clinic with several hours of abdominal pain in the right lower quadrant, mimicking acute appendicitis. However, the perioperative findings confirmed a different pathology: a perforation of Meckel’s diverticulum.
perforation – Meckel’s diverticulum – ectopia
1. Blouhos K, Boulas KA, Tsalis K et al. Meckel’s diverticulum in adults: surgical concerns. Front Surg 2018; 5 : 55. doi: 10.3389/fsurg.2018.00055.
2. Groebli Y, Bertin D, Morel P. Meckel’s diverticulum in adults: retrospective analysis of 119 cases and historical review. Eur J Surg 2001; 167 (7): 518–524. doi: 10.1080/110241501316914894.
3. Hansen CC, Søreide K. Systematic review of epidemiology, presentation, and management of Meckel’s diverticulum in the 21st century. Medicine (Baltimore) 2018; 97 (35): e12154. doi: 10.1097/MD.0000000000012154.
4. Zani A, Eaton S, Rees CM et al. Incidentally detected Meckel diverticulum: to resect or not to resect? Ann Surg 2008; 247 (2): 276–281. doi: 10.1097/SLA.0b013e31815aaaf8.
5. Cullen JJ, Kelly KA, Moir CR et al. Surgical management of Meckel’s diverticulum. An epidemiologic, population-based study. Ann Surg 1994; 220 (4): 564–568. doi: 10.1097/00000658-199410000-00014.
6. Thirunavukarasu P, Sathaiah M, Sukumar S et al. Meckel’s diverticulum – a high-risk region for malignancy in the ileum. Insights from a population--based epidemiological study and implications in surgical management. Ann Surg 2011; 253 (2): 223–230. doi: 10.1097/SLA.0b013e3181ef488d.
7. Robijn J, Sebrechts E, Miserez M. Management of incidentally found Meckel’s diverticulum a new approach: resection based on a risk score. Acta Chir Belg 2006; 106 (4): 467–470. doi: 10.1080/00015458.2006.11679933.
8. Negrea V, Gheban D. Nervous structure of Meckel’s diverticulum in children. Rom J Morphol Embryol 2012; 53 (3): 573–576.
9. Keese D, Rolle U, Gfroerer S et al. Symptomatic Meckel’s diverticulum in pediatric patients-case reports and systematic review of the literature. Front Pediatr 2019; 7 : 267. doi: 10.3389/fped.2019.00267.
10. Holas M. Perforovaný meckelův divertikl u 11letého chlapce. Pediatr Praxi 2022; 23 (4): 278–280. doi: 10.36290/ped.2023.007.
11. Sovadinová D, Limprechtová T, Borůvková K et al. Meckel’s diverticulum as a cause of gastrointestinal bleeding in an adolescent patient. Rozhl Chir 2024; 103 (4): 138–142. doi: 10.33699/PIS.2024.103.4. 138–142.
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