Perforated Meckel’s diverticulum with congenital diaphragmatic hernia
DOI:
https://doi.org/10.18203/2349-2902.isj20263362Keywords:
Congenital diaphragmatic hernia, Perforated Meckel’s diverticulum, Neonate, Neonatal surgeryAbstract
Congenital diaphragmatic hernia (CDH) is a congenital anomaly in which there is herniation of abdominal contents into the thoracic cavity, this leads to pulmonary hypertension and pulmonary hypoplasia to a varying degree. Association of CDH with various extra-diaphragmatic malformations is known. We present a case of a CDH, in which the patient developed perforation of Meckel’s diverticulum (MD) post-operatively. This is the first reported case of a patient with CDH developing perforation of a MD.
References
Jen TK, Lally KP. Congenital diaphragmatic hernia and eventration. In: Holcombe GW 3rd, Murphy JP, editors. Ashcraft’s Pediatric Surgery. 5th ed. Philadelphia, Pa, USA: Elsevier Saunders; 2010. p. 304-23
Wright JC, Budd JL, Field DJ, Draper ES. Epidemiology and outcome of congenital diaphragmatic hernia: A 9-year experience. Paediatr Perinat Epidemiol 2011;25:144-9
Sweed Y, Puri P. Congenital diaphragmatic hernia: influence of associated malformations on survival. Arch Dis Child. 1993 Jul;69(1 Spec No):68-70
Hosgor M, Karaca I, Karkiner A, Ucan B, Temir G, Erdag G, et al. Associated malformations in delayed presentation of congenital diaphragmatic hernia. J Pediatr Surg 2004;39:1073-61. Jen TK, Lally KP. Congenital diaphragmatic hernia and eventration. In: Holcombe GW 3rd, Murphy JP, editors. Ashcraft’s Pediatric Surgery. 5th ed. Philadelphia, Pa, USA: Elsevier Saunders. 2010;304-23.
Wright JC, Budd JL, Field DJ, Draper ES. Epidemiology and outcome of congenital diaphragmatic hernia: A 9-year experience. Paediatr Perinat Epidemiol. 2011;25(2):144-9.
Sweed Y, Puri P. Congenital diaphragmatic hernia: influence of associated malformations on survival. Arch Dis Child. 1993;69(1):68-70.
Hosgor M, Karaca I, Karkiner A, Ucan B, Temir G, Erdag G, et al. Associated malformations in delayed presentation of congenital diaphragmatic hernia. J Pediatr Surg. 2004;39(2):1073-6.
Liaqat N, Mahomed A, Nayyar SI, Akhtar N, Ali S, Haider N. Perforated Meckel’s diverticulum in neonates: a report of six cases and systematic review of the literature. Ann Pediat Surg. 2022;18(1):18.
Schropp KP, Garey CL. Meckel's diverticulum. In: Holcombe GW 3rd, Murphy JP, editors. Ashcraft's Pediatric Surgery. 5th ed. Philadelphia, USA: Elsevier Saunders. 2010;526-31.
Frooghi M, Bahador A, Golchini AR, Haghighat M, Ataollahi M, Javaherizadeh H. Perforated Meckel’s Diverticulum in a 3-day-old neonate; A Case Report. Middle East J Dig Dis. 2016;8(4):323-6.
Shalaby RY, Soliman SM, Fawy M, Samaha A. Laparoscopic management of Meckel’s diverticulum in children. J Pediatr Surg. 2005;40(3):562-7.
Khoury V, Taishori N, Abdo A, Omran A. Idiopathic Meckel’s diverticulum perforation presenting at birth. J Pediat Surg Case Rep. 2021;74:102022.
Zahraa J, Abu-Ekteish F, Al Bassam A-R, Nosir AA. Perforated Meckel’s diverticulum in a neonate mimicking necrotizing enterocolitis. Pediatr Emerg Care. 2003;19(6):418-9.
Gandy J, Byrne P, Lees G. Neonatal Meckel’s diverticular inflammation with perforation. J Pediatr Surg. 1997;32(5):750-1.
Aguayo P, Fraser JD, St Peter SD, Ostlie DJ. Perforated Meckel’s diverticulum in a micropremature infant and review of the literature. Pediatr Surg Int. 2009;25(6):539-41.
Raboei E, Eltayeb AA, Luoma R. Abdominal cystic mass in infancy-in utero perforated Meckels diverticulum? Pediatr Surg Int. 2004;20(11-12):886-8.
Orelaru FO, Reddy NS, Brahmamdam P. Perforated Meckel’s diverticulum in a neonate. J Pediatr Surg Case Rep. 2018;37:37-40.
Bertozzi M, Melissa B, Radicioni M, Elisa M, Antonino A. Symptomatic Meckel's diverticulum in newborn: two interesting additional cases and review of literature. Pediatr Emerg Care. 2013;29(9):1002-5.
Mandhan P, Saied AA, Ali MJ. A Triad of Congenital Diaphragmatic Hernia, Meckel’s Diverticulum, and Heterotopic Pancreas. Case Rep Pediat. 2014;2014:1-3.
Basani L, Aepala R, Reddy BmM. Congenital diaphragmatic hernia, Meckel′s diverticulum and malrotation in a 3-month-old infant. Afr J Paediat Surg. 2016;13(1):47.
Cullen JJ, Kelly KA, Moir CR, Hodge DO, Zinsmeister AR, Melton LJ 3rd. Surgical management of Meckel’s diverticulum. An epidemiologic, population-based study. Ann Surg. 1994;220:564-8.
Robijn J, Sebrechts E, Miserez M. Management of incidentally found Meckel’s diverticulum a new approach: Resection based on a risk score. Acta Chir Belg. 2006;106(4):467-70.
Soltero MJ, Bill AH. The natural history of Meckel’s diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel’s diverticulum found in King County, Washington, over a fifteen year period. Am J Surg. 1976;132(2):168-73.
Salústio R, Nabais C, Paredes B, Sousa FV, Porto E, Fradique C. Association of intestinal malrotation and Bochdalek hernia in an adult: A case report. BMC Res Notes. 2014;7:296.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Nabeel Al-Asheeri, Arka Chatterjee, Fayza Haider, Ezat Abrar, Sara Husain, Sayed Ahmed

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.