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Case Report
Traumatic rupture of the Meckel’s diverticulum due to a blunt abdominal trauma caused by a tractor rollover
1 MD, Resident of General Surgery in the General Surgery Department of Hospital de Santa Lúzia, Viana do C, Portugal
2 MD, Surgeon in the General Surgery Department of the Hospital de Santa Lúzia, Viana do Castelo, Portugal
3 MD, Diretor of the General Surgery Department in the Hospital de Santa Lúzia, Viana do Castelo, Portugal
4 MD, Director of the General Surgery Department in the Hospital Padre Américo, Penafiel, Portugal
Address correspondence to:
Manuel Alexandre Viana Ferreira
Rua António De Mariz, nº22, 4715-279 Braga,
Portugal
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Article ID: 101000Z01MF2019
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How to cite this article
Ferreira MAV, Matos C, Fazeres F, Midões A, Oliveira M. Traumatic rupture of the Meckel’s diverticulum due to a blunt abdominal trauma caused by a tractor rollover. Int J Case Rep Images 2019;10:101000Z01MF2019.ABSTRACT
Introduction: The Meckel’s diverticulum is a common congenital anomaly of the gastrointestinal tract that rarely causes symptoms. Symptomatic patients usually present with haemorrhage, obstruction or inflammation of the diverticulum, however, perforation, specially following a blunt abdominal trauma is very rare. We present a rare case of an isolated diverticular rupture due to a crushing abdominal trauma.
Case Report: A 36-year old male presented with abdominal pain after a rollover accident, in which his abdomen got stuck underneath the structure of an industrial tractor. Initial physical examination showed bruises on the hypogastric region without signs of peritonitis or haemodynamic instability. Image examination didn’t show clear signs of intraperitoneal trauma. Due to the worsening of the patient, an exploratory laparotomy was performed and revealed blood and faecal content in the peritoneal cavity, consequence of a Meckel’s diverticulum rupture.
Conclusion: The rupture of the Meckel’s diverticulum is a rare cause of peritonitis following blunt abdominal trauma. A prompt surgical decision with the excision of the diverticulum is essential to control de damage in this patients
Keywords: Abdominal trauma, Blunt trauma, Meckel’s diverticulum, Traumatic rupture
SUPPORTING INFORMATION
Author Contributions
Manuel Alexandre Viana Ferreira - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Carolina Matos - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Francisco Fazeres - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Alberto Midões - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Manuel Oliveira - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Manuel Alexandre Viana Ferreira et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
