GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Meckel diverticulitis

Case contributed by Matthew Lukies
Diagnosis certain

Presentation

Acute severe worsening abdominal pain. Course of oral antibiotics 3 months postpartum and recently for mastitis. CRP 400.

Patient Data

Age: 35 years
Gender: Female
ct
  • Gas-containing blind ending structure (Meckel diverticulum) arising from a loop of distal small bowel, with surrounding inflammatory fat stranding and small bowel dilatation
  • Inflammatory fat stranding in the right flank around distal small bowel, cecum and ascending colon
  • Right lower quadrant peritonitis
  • Intraperitoneal free fluid in Morrison's pouch, the right lower quadrant and pelvis

Case Discussion

The patient in this case proceeded to the operating theater for laparotomy, where an inflamed, ulcerated and perforated Meckel diverticulum was resected. Subsequent histopathology confirmed the diagnosis of Meckel diverticulitis.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.