Meckel’s Diverticulitis as a Cause of an Acute Abdomen in the Second Trimester of Pregnancy: Laparoscopic Management
Joint Authors
Pandeva, Ivilina
Kumar, Sumit
Alvi, Atif
Nosib, Hema
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-11
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Meckel’s diverticulitis is an extremely rare cause of an acute abdomen in pregnancy.
Its clinical presentation tends to be rather unusual and therefore commonly delaying diagnosis.
The surgical method of exploration can be either by laparoscopy or through an open incision.
Case Report.
We report a case of a 34-year-old, P1 with previous Caesarean section, who presented at 20 weeks with worsening right-sided abdominal pain, distention, and peritonism.
Ultrasound scan showed an area of a possibly thickened loop of bowel inconsistent with an appendicitis.
The findings at laparoscopy were purulent fluid in the pelvis, a congested appendix, and inflamed Meckel’s diverticulum.
An appendectomy and excision of the diverticulum was performed using stapler technique.
Discussion.
Meckel’s diverticulitis in pregnancy can have nonspecific presentation and poses difficulties for preoperative diagnosis.
Delay in diagnosis and management poses significant maternal and fetal risks.
The use of laparoscopy if the gestational age and uterine size permit its use allows a thorough exploration of the abdominal cavity and management of rarer and unexpected pathology.
Laparoscopic management of acute abdomen in the midtrimester of pregnancy has been found to be safe and effective.
American Psychological Association (APA)
Pandeva, Ivilina& Kumar, Sumit& Alvi, Atif& Nosib, Hema. 2015. Meckel’s Diverticulitis as a Cause of an Acute Abdomen in the Second Trimester of Pregnancy: Laparoscopic Management. Case Reports in Obstetrics and Gynecology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059197
Modern Language Association (MLA)
Pandeva, Ivilina…[et al.]. Meckel’s Diverticulitis as a Cause of an Acute Abdomen in the Second Trimester of Pregnancy: Laparoscopic Management. Case Reports in Obstetrics and Gynecology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1059197
American Medical Association (AMA)
Pandeva, Ivilina& Kumar, Sumit& Alvi, Atif& Nosib, Hema. Meckel’s Diverticulitis as a Cause of an Acute Abdomen in the Second Trimester of Pregnancy: Laparoscopic Management. Case Reports in Obstetrics and Gynecology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059197
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059197