We experienced a case of perforation of Meckel's diverticulum with enterolith.
A 66-year-old man was admitted to the hospital because of right lower quadrant pain. A simple abdominal X-ray film and abdominal CT showed calcification in the right lower abdomen. An emergency operation was carried out with a diagnosis of generalized peritonitis due to acute appendicitis or diverticulitis. During operation, a Meckel's diverticulum 70cm oral side from the terminal portion of ileum was found and enterolith was present in the diverticulum which perforated at the tip. A wedge resection was performed. The patient was discharged from the hospital on 11 th postoperative day. Enterolith is rare espocially enterolith in a Meckel's diverticulum. There have been no case in the Japanese literature and about 10 cases in the Western dountries as four as we could review.
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)