Perforation of Meckel’s Diverticulum by a Peanut Presenting as a Mesentery Abscess

authors:

avatar Chia-Hung Su 1 , avatar Jui-Ying Lee 2 , avatar Yu-Tang Chang 3 , *

Iranian Journal of Pediatrics: Vol.23, issue 2; 223-225
published online: January 12, 2013
article type: Case Report
received: April 04, 2011
accepted: January 13, 2012

how to cite: Su C, Lee J, Chang Y. Perforation of Meckel’s Diverticulum by a Peanut Presenting as a Mesentery Abscess. Iran J Pediatr. 2013;23(2): 223-225. 

Abstract

Background: Perforation of Meckel’s diverticulum by a foreign body in children is rarely reported and is usually associated with localized or generalized fibropurulent peritonitis.
Case Presentation: The authors encountered such a case in a 4-year-old boy with perforation of Meckel’s diverticulum by a piece of peanut presenting as a mesentery abscess. The diverticulum was wide-based and histology showed a transmural perforation at the tip of the diverticulum.
Conclusion: Local inflammation due to irritation of the foreign body and progressive pressure necrosis at the tip of the diverticulum may be the pathogenesis of mesentery abscess. A search of the English literature did not reveal any similar case.
 

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