FOREIGN BODY PERFORATION OF MECKEL'S DIVERTICULUM IN A CASE OF ACUTE APPENDICITIS - TWIN PATHOLOGY : A RARE CASE REPORT

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 inammed 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.