Abstract
An 86-year-old woman was referred for lower abdominal pain. CT showed three calcifications, 1 cm in size, in the lower abdomen. The differential diagnosis included appendicitis or Meckel's diverticulitis. The patient was observed since her abdominal pain was not intense and her inflammatory response as reflected by laboratory data was low. On day 2, an operation was performed due to increasing abdominal pain and an increasing inflammatory response. On laparotomy, an abscess was found in the lower abdomen, and a Meckel's diverticulum located to the anti-mesenteric side, 100 cm oral from the terminal ileum, was seen. The diverticulum was 7 cm in size. The diverticulum contained three enteroliths composed of calcium. Ectopic mucosa was not present in the diverticulum. Meckel's diverticulitis with true enteroliths is very rare. We report this case, together with a brief review of the literature.
