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Case Report
 
Perforation of Meckel’s diverticulum caused by a fish bone: A case report
Hideki Shibata1, Koichi Sato1, Takashi Tada1, Hiroshi Maekawa1, Mutsumi Sakurada1, Hajime Orita1, Tomoaki Ito1
1Depertment of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, 1129, Nagaoka, izunokuni-shi, Shizuoka, JAPAN. Email: speedking@gj8.so-net.ne.jp

doi:10.5348/ijcri-2014-02-453-CR-5

Address correspondence to:
Hideki Shibata
Depertment of Surgery, Juntendo Shizuoka Hospital
Juntendo University School of Medicine
1129, Nagaoka, izunokuni-shi, Shizuoka, 410-2295
Japan
Phone: (81)-55-948-3111
Fax: (81)-55-946-0514
Email: speedking@gj8.so-net.ne.jp

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How to cite this article:
Shibata H, Sato K, Tada T, Maekawa H, Sakurada M, Orita H, Ito T. Perforation of Meckel’s diverticulum caused by a fish bone: A case report. International Journal of Case Reports and Images 2014;5(2):113–117.


Abstract
Introduction: Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract. Perforation of Meckel’s diverticulum caused by a fish bone is a very rare complication.
Case Report: We report a 41-year-old male who was admitted to our hospital with deteriorating lower abdominal pain that started two days earlier. An abdominal computed tomography scan showed inflammatory changes thickening the intestinal wall and involving ileocecal fat. Based on a clinical diagnosis of acute appendicitis, we performed an emergency operation. At laparotomy, Meckel’s diverticulum was perforated by a fish bone.
Conclusion: In the differential diagnosis as a probable cause of acute abdomen, it is important that computed tomography scan of the abdomen should be checked carefully while considering Meckel’s diverticulum.

Keywords: Meckel’s diverticulum, Perforation, Fish bone


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Author Contributions
Hideki Shibata – Substantial contributions to conception and design, acquisition of data, and analysis and interpretation of data, Drafting the article of revising it critically for important intellectual content, Final approval of the version to be published
Koichi Sato – Substantial contributions to conception and design, acquisition of data, and analysis and interpretation of data, Drafting the article of revising it critically for important intellectual content, Final approval of the version to be published
Takashi Tada – Substantial contributions to conception and design, acquisition of data, Drafting the article, Final approval of the version to be published
Hiroshi Maekawa – Substantial contributions to conception and design, acquisition of data, Drafting the article, Final approval of the version to be published
Mutsumi Sakurada – Substantial contributions to conception and design, acquisition of data, Drafting the article, Final approval of the version to be published
Hajime Orita – Substantial contributions to conception and design, acquisition of data, and analysis and interpretation of data, Drafting the article of revising it critically for important intellectual content, Final approval of the version to be published
Tomoaki Ito – Substantial contributions to conception and design, acquisition of data, Drafting the article, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© Hideki Shibata et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)



About The Authors

Hideki Shibata is Research associate at Department of Gastroenterological and General Surgery, Showa University hospital His research interests include (Minimally Invasive Surgery). He intends to pursue (fellowship in Gastroenterological and General Surgery) in future.



Koichi Sato is Professor at Department of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine. His research interests include PMX endotoxin, liver transplantation and esophageal cancer. He intends to pursue for Surgical residents in future. He has published several research papers in academic journals books.



Hiroshi Maekawa is Professor at Department of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine. His research interests include Pancreas cancer treatment. He intends to pursue for residents in future. He has published five research papers in academic journals.



Mutsumi Sakurada is Associate Professor at Department of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine. His research interests include emergency medical treatment. He intends to pursue for residents in future.



Hajime Orita is Associate Professor at Department of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine. His research interests include Fatty acid synthase for cancer diagnosis and treatment. He also works corroboration research of Methylationwith Johns Hopkins Universtity school of medicine. He intends to pursue for residents in future. He has published 5 research papers in academic journals and authored one book.



Tomoaki Ito is Assistant Professor at Department of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine. His research interests include tumor marker in gastric cancer. He intends to pursue for residents in future. He has published four research papers in academic journals.