Abstract
A 51-year-old man was admitted to our hospital because of abdominal pain. A physical examination showed severe tenderness, rebound tenderness and muscle defence throughout the entire abdomen. A diagnosis of panperitonitis was made and an emergency operation was performed. At laparotomy, there were slight purulent ascites and Meckelʼs diverticulum 8 cm in size on the antimesenteric side about 70 cm from the ileocecal valve. The apex of Meckelʼs diverticulum was covered with pus and was adhered with other small intestine. A resection of Meckelʼs diverticulum and drainage of the intraperitoneum were performed. Histologically, it was diagnosed as Meckelʼs diverticulitis with heavy neutrophilic infiltration throughout all layers. Meckeʼs diverticulum is rare, but its complications may occasionally cause acute abdomen.
