Articles

A Rare Case of Perforated Meckel’s Diverticulum Coexisting with Acute Appendicitis

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Meckel’s Diverticulum is a common congenital anomaly of the gastrointestinal tract due to persistence of vitellointestinal duct. It is usually found as an incidental finding in approximately 2 to 4 % of population in patients undergoing appendicectomy or any other gastrointestinal pathology. Obstruction, gastrointestinal bleeding, diverticulitis and perforation are the various presentations of complicated Meckel’s diverticulum. Incidence of perforated Meckel’s diverticulum is only about 0.5%. Coexistence of appendicitis with perforated Meckel’s diverticulum is a rare presentation thus, making routine search for meckel’s diverticulum intraoperatively in all cases of appendicitis a mandatory practice. Here we report such a rare case of coexistence of perforated meckel’s diverticulum with acute appendicitis in a 12 year female patient.

Role of CT in Early Diagnosis of Small Bowel Lymphoma in a Patient with Presumptive Diagnosis of Adhesive Bowel Obstruction- A Case Report

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Small bowel obstruction is one of the commonly encountered disease state by surgeons all over the world and postoperative adhesions remain the most common cause of small bowel obstruction till date. Other rarer causes of small bowel obstruction include small bowel malignancies like lymphomas and adenocarcinoma, foreign bodies, intussusception, volvulus, hernias etc. Even though adhesions are the commonest cause behind bowel obstruction, these patients are also equally susceptible to be diagnosed with other rarer causes of small bowel obstruction. In such situations, a CT scan can aid in early diagnosis of these rarer causes and prevent unnecessary delays in surgical management. Here we report a case where a presumptive diagnosis of adhesive obstruction was made but a CT scan early in the course of treatment helped us diagnose small bowel malignancy immediately, to terminate conservative management and proceed with immediate laparotomy.