Abstract
A 65-year-old man who had been hospitalized for a detailed examination to assess lung cancer, developed ileus. An ileus tube was placed, and the patient reported abdominal pain with signs of peritoneal irritation on the ninth day after placement. Abdominal computed tomography was performed, which showed the presence of intra-abdominal free air. We therefore diagnosed peritonitis due to intestinal perforation and thus performed emergency surgery. During the surgery, deviation of the ileus tube from the top of Meckel's diverticulum was observed, and the diverticulum was found to adhere to the distal ileum, with pus production. We therefore diagnosed diverticulitis, adhesion ileus, and Meckel's diverticulum perforation and performed a local enterectomy including the diverticulum. Meckel's diverticulum is a congenital intestinal abnormality. Most patients are a symptomatic ; however, rarely, diverticulitis, ileus, and/or perforation may be noted. We present an extremely rare case of Meckel's diverticulum perforation by an ileus tube placed to treat the adhesion ileus due to Meckel's diverticulitis. We herein report this case with a review of the previous literature.
