Diverticulitis in Meckel's diverticulum

The patient is a 75-year-old woman with a history of ileitis with an adjacent abscess in the terminal ileum. The suspected diagnosis was fistulizing ileal Crohn's disease, and treatment was started with adalimumab. One year later, she reported abdominal pain, and urgent CT revealed a pouch-like structure in the terminal ileum with signs of inflammation in the area of the previously described abscess, compatible with diverticulitis in Meckel’s diverticulum (Fig. 1). During urgent surgery, we observed a normal intestinal tract with local inflammatory signs in the Meckel’s diverticulum, which was resected (Fig. 2). The pathology study was compatible with acute Meckel’s diverticulitis. Treatment with adalimumab was suspended, and the patient presented good evolution.

Fig. 1

Fig. 2

Diagnosis

Diverticulitis in Meckel’s diverticulum.

Ethical considerations

Protection of persons and animals: The authors declare that no experiments have been conducted on humans or animals during this study.

Confidentiality: The authors have followed the protocols of their center regarding the publication of patient data.

Right to privacy and informed consent: This article contains no individual patient data, and informed consent was given by the patients who imaging tests are included in this paper.

Funding

This study has received no specific funding from public, commercial or non-profit entities.