Presentation
Presenting with a 3-day history of fever, right iliac fossa (RIF) pain, guarding, and rebound tenderness. Laboratory results show a WBC count of 15.8 and CRP of 110, suggesting complicated or perforated appendicitis.
Patient Data
A blind-ended tubular structure containing air foci and calcifications (enteroliths) in the lumen, enhancing wall, and adjacent fat stranding is observed. It is continuous with the distal ileal loop. The appendix is seen separately and is normal, ruling out appendicitis. The appearance is consistent with Meckel diverticulitis.
Case Discussion
The patient presented with symptoms mimicking acute appendicitis. However, it was not felt to be appendicitis on imaging given that the appendix was seen separately from the abnormality and appeared normal. The diagnosis of Meckel diverticulitis was supported by the presence of a blind-ending tubular structure that was continuous with the distal ileum that demonstrated enhancing walls, internal foci of air and calcifications (enteroliths), and adjacent fat stranding. The diagnosis was confirmed on laparoscopy and histopathology.
Unable to process the form. Check for errors and try again.