A case report of complicated Meckel's diverticulum in an older adult: a diagnostic challenge

Rodrigo Villarreal Zavala; Andrea Elizabeth Brito Torres; César Augusto Marrufo Patrón; Samuel Hernández Alvarado; Diego Pérez Valdez; Jonathan Villaseñor Vidal

doi:10.18203/2349-2902.isj20252287

Authors

Rodrigo Villarreal Zavala Department of General Surgery, Hospital General Regional Mérida T1-Instituto Mexicano del Seguro Social, Mérida, Yucatán, México
Andrea Elizabeth Brito Torres Department of General Surgery, Hospital General Regional Mérida T1-Instituto Mexicano del Seguro Social, Mérida, Yucatán, México
César Augusto Marrufo Patrón Department of General Surgery, Unidad Médica de Alta Especialidad UMAE - Instituto Mexicano del Seguro Social, Mérida, Yucatán, México
Samuel Hernández Alvarado Department of General Surgery, Hospital General Regional Mérida T1-Instituto Mexicano del Seguro Social, Mérida, Yucatán, México
Diego Pérez Valdez Department of General Surgery, Hospital General Regional Mérida T1-Instituto Mexicano del Seguro Social, Mérida, Yucatán, México
Jonathan Villaseñor Vidal Department of General Surgery, Christus Muguerza Faro, Mérida, Yucatán, México

DOI:

https://doi.org/10.18203/2349-2902.isj20252287

Keywords:

Meckel's diverticulum, Intestinal perforation, Elderly patient, Acute abdomen

Abstract

Meckel's diverticulum represents a diagnostic challenge as it is often discovered incidentally during the evaluation of symptoms initially attributed to other causes or is identified as a trans-surgical finding during surgery. The three most common manifestations of symptomatic Meckel's diverticulum are intestinal obstruction, gastrointestinal bleeding and inflammation with or without perforation. This case report discusses the complications of Meckel's diverticulum and the importance of suspicion as a differential diagnosis in older adult patients presenting with acute abdomen.

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