2021 Volume 41 Issue 5 Pages 367-370
An 87-year-old female patient visited our emergency department with a history of lower abdominal pain. Abdominal computed tomography（CT）showed a mass containing calcification inside a dilated segment of the small intestine. We made the diagnosis of small bowel obstruction and performed emergency surgery. The surgery was started using the laparoscopic approach, but conversion to open surgery became necessary. The dilated intestine was actually Meckel’s diverticulum with an enterolith. We performed small bowel resection. Histopathology showed pancreatic mucosal tissue in the diverticular mucosa, with mucosal necrosis, bleeding, and abscess formation. Analysis of the stone revealed bile acids. Based on the findings, we made the final diagnosis of Meckel’s diverticulitis with a true enterolith. Herein, we present a rare case of Meckel’s diverticulitis with a true enterolith, along with a discussion of the relevant literature.
