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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 2008-2150
Vol. 23, No. 2, 2013, pp. 223-225
Bioline Code: pe13041
Full paper language: English
Document type: Case Report
Document available free of charge

Iranian Journal of Pediatrics, Vol. 23, No. 2, 2013, pp. 223-225

 en Perforation of Meckel's Diverticulum by a Peanut Presenting as a Mesentery Abscess
Su, Chia-Hung; Lee, Jui-Ying & Chang, Yu-Tang

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.

Keywords
Meckel's Diverticulum; Peanuts; Intestinal Perforation; Mesentery; Abscess

 
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