Meckel's diverticulum is a remnant of embryologic omphalomesenteric duct. It is the most common congenital anomaly in gastrointestinal tract
with the incidence of about 2% in the population. About 80% of them are asymptomatic and remaining can present with complications such as
bleeding, ulcer, intestinal obstruction, intussusception, diverticulitis and perforation.
Meckel's diverticular perforation by a foreign body is a rare complication. Here we report a case of Meckel's diverticular perforation by a foreign
body in a case of acute appendicitis. A 50 year old male patient presented to emergency department with signs and symptoms of acute appendicitis .
Abdomen opened through Mc Burney's incision, appendix found to be inammed and a sh bone perforating the Meckel's diverticulum was
incidentally found, appendicectomy and Meckel's diverticulectomy was performed. Perforation of Meckel's diverticulum by a foreign body is a
diagnostic challenge pre operatively. It is suggested to make it a routine practice to look for the presence of Meckel's diverticulum in all lower
abdominal surgeries.
Triple presentation of acute appendicitis, Meckel's diverticulum, and hemorrhagic ovarian cyst: A rare case report and literature review