Meckel’s Diverticulitis Treated with Interval Resection After Nonoperative Initial Management：A Case Report

Abstract

A 29-year-old man presented with lower abdominal pain without peritoneal signs and fever. Meckel’s diverticulitis was diagnosed on computed tomography (CT) imaging. There were no peritoneal signs despite widespread inflammation around the diverticulum on the CT scan. He was treated nonoperatively with antibiotics. Interval diverticulectomy was then performed with single incision laparoscopy-assisted surgery. The diverticulum was located 90cm from the ileocecal valve and an extracorporeal wedge resection was performed. The postoperative course was uneventful and the patient was discharged on postoperative day 7. Pathological examination showed Meckel’s diverticulitis with ectopic gastric tissue. Due to improvements in diagnostic imaging, Meckel’s diverticulitis was diagnosed preoperatively. Laparoscopic interval diverticulectomy has been rarely reported to date.