A traumatic perforation of Meckel's diverticulum; a case report

Meckel’s diverticulum has is one of the most common congenital anomalies in gastrointestinal tract and its incidence is about 2%. Meckel’s diverticulum is a true diverticulum since it consists of all three intestinal wall layers. It’s usually located 100 centimeters from the ileocecal valve and is formed due to failure of omphalomesenteric duct involution at 8th week of gestation. This case report is about a 16-month-old boy that was hospitalized in one of Tehran’s pediatric hospitals due to falling down from 40 cm height and was finally operated with acute abdomen diagnosis. Distal perforation of the Meckel’s diverticulum and peritonitis originating from intestinal secretions was diagnosed during the operation; therefore، segmental ileal resection and anastomosis was done.

Meckel’s diverticulum perforation is uncommon and considering that the probability of solid abdominal organs’ injury is higher after trauma، similar cases with chronic signs should be observed closely in order to take appropriate and timely therapeutic measures.