Peritonitis of small bowel with perforated Meckel diverticulum by inadvertently fish bone: A Case report and Literature Review

Peritonitis of small bowel with perforated Meckel diverticulum by inadvertently fish bone: A Case report and Literature Review | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Case Report Peritonitis of small bowel with perforated Meckel diverticulum by inadvertently fish bone: A Case report and Literature Review Shabnam Faiz, Fuwen Luo, Guoxin guan, meng meng, liu xingming This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4491925/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 3 You are reading this latest preprint version Abstract Introduction: Meckel diverticulum is the most common congenital abnormality of the gastrointestinal tract. Foreign body-induced perforation of Meckel diverticulum is extremely rare, with challenging consequences in adults. Case presentation: A 20 years old young boy presented to our department with a three days history of severe abdominal colicky pain of sudden onset. There were also associated symptoms of nausea, and vomiting. On physical examination his abdomen was distended with rebound tenderness. His blood investigation showed raised C reactive protein level with inflammatory markers. CT scan revealed signs of exudation of surrounding fat space. The initial diagnosis was diffuse peritonitis with gastrointestinal perforation by a foreign body, so the patient underwent diagnostic laparoscopy. Findings included a needle-shaped white foreign body about 2.5 cm in length with an edematous hyperemic small intestine that was covered with pus, and adherent to the pelvic cavity. Laparoscopic surgery was converted to open laparotomy surgery. A foreign body was removed and confirmed as a fishbone. Partial resection of ileum, and perforated diverticulum with side-to-side anastomosis done. The patient was discharged 7 days postoperatively. Discussion : perforation of the gastrointestinal tract by a fish bone foreign body is not a common event in the clinical setting. Unfortunately, with the incomplete patient history, it is usually misdiagnosed as with acute appendicitis or other pathologies. CT scan can be a useful modality to diagnose foreign bodies, however, the sensitivity is low to detect complications that occur by fish bone ingestion. Conclusion : Preoperative diagnosis of perforated Meckel diverticulum by fish bone is really rare and difficult. The management of perforated diverticulum by fish bone on time can really reduce the rate of morbidity and immortality. It should be also included in the differential diagnosis of acute abdomen in young people. Fishbone Perforation Meckel diverticulum Small intestine foreign body Ingestion Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Under Review Version 1 posted Editor assigned by journal 30 May, 2024 Submission checks completed at journal 28 May, 2024 First submitted to journal 28 May, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4491925","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Case Report","associatedPublications":[],"authors":[{"id":308608806,"identity":"f74a0410-30cc-4f13-89ea-54c7701ec054","order_by":0,"name":"Shabnam Faiz","email":"","orcid":"","institution":"The Second Hospital of Dalian Medical University","correspondingAuthor":false,"prefix":"","firstName":"Shabnam","middleName":"","lastName":"Faiz","suffix":""},{"id":308608808,"identity":"c75583fd-027b-4692-9b20-a0bcd515d98a","order_by":1,"name":"Fuwen Luo","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAy0lEQVRIiWNgGAWjYBAC9gYQWcDAwM/A3HCAKC08YGUGDAySDYykajE4wNhAnMN4JHIMHxcYHJYzPn6w8TBv2x0G/vbuBEJajI1nGBw2NjuT2ADU8oxB4szZDXi12EvkbpPmMTicuO0AWMthBgOJXPxaeCRyt/8Gadnc/5B4LduYQVo2SBBtC8/7z0CHpRtL3HjYcHDOucM8BP3Cw56W+JmnwlqOvz/58Ic3ZYfl+Nt78WtBAUw8QDOIVw4CjD9IUz8KRsEoGAUjBAAABPlJUp0YvG0AAAAASUVORK5CYII=","orcid":"","institution":"The Second Hospital of Dalian Medical University","correspondingAuthor":true,"prefix":"","firstName":"Fuwen","middleName":"","lastName":"Luo","suffix":""},{"id":308608809,"identity":"5dbc7dbb-4718-4e0f-93e4-8e6a255116a1","order_by":2,"name":"Guoxin guan","email":"","orcid":"","institution":"The Second Hospital of Dalian Medical University","correspondingAuthor":false,"prefix":"","firstName":"Guoxin","middleName":"","lastName":"guan","suffix":""},{"id":308608810,"identity":"b61b2432-726f-42f0-a12a-ee3f584f5764","order_by":3,"name":"meng meng","email":"","orcid":"","institution":"The Second Hospital of Dalian Medical University","correspondingAuthor":false,"prefix":"","firstName":"meng","middleName":"","lastName":"meng","suffix":""},{"id":308608811,"identity":"f7b3892f-21db-4106-afde-d64c7af1028a","order_by":4,"name":"liu xingming","email":"","orcid":"","institution":"The Second Hospital of Dalian Medical University","correspondingAuthor":false,"prefix":"","firstName":"liu","middleName":"","lastName":"xingming","suffix":""}],"badges":[],"createdAt":"2024-05-28 15:23:13","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4491925/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4491925/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":58127805,"identity":"80466fa0-12c3-44e0-ba50-b7ab5ba41cd2","added_by":"auto","created_at":"2024-06-11 13:45:13","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":373045,"visible":true,"origin":"","legend":"","description":"","filename":"PerforationofMeckeldiverticulum.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4491925/v1_covered_eef69f07-3d7c-4f41-96a0-82a69367f06b.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Peritonitis of small bowel with perforated Meckel diverticulum by inadvertently fish bone: A Case report and Literature Review","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"patient-safety-in-surgery","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"psis","sideBox":"Learn more about [Patient Safety in Surgery](http://pssjournal.biomedcentral.com/)","snPcode":"13037","submissionUrl":"https://submission.nature.com/new-submission/13037/3","title":"Patient Safety in Surgery","twitterHandle":"@EMSurgeryBMC","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Fishbone, Perforation, Meckel diverticulum, Small intestine, foreign body, Ingestion","lastPublishedDoi":"10.21203/rs.3.rs-4491925/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4491925/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eIntroduction: Meckel diverticulum is the most common congenital abnormality of the gastrointestinal tract. Foreign body-induced perforation of Meckel diverticulum is extremely rare, with challenging consequences in adults.\u003c/p\u003e \u003cp\u003eCase presentation: A 20 years old young boy presented to our department with a three days history of severe abdominal colicky pain of sudden onset. There were also associated symptoms of nausea, and vomiting. On physical examination his abdomen was distended with rebound tenderness. His blood investigation showed raised C reactive protein level with inflammatory markers. CT scan revealed signs of exudation of surrounding fat space. The initial diagnosis was diffuse peritonitis with gastrointestinal perforation by a foreign body, so the patient underwent diagnostic laparoscopy. Findings included a needle-shaped white foreign body about 2.5 cm in length with an edematous hyperemic small intestine that was covered with pus, and adherent to the pelvic cavity. Laparoscopic surgery was converted to open laparotomy surgery. A foreign body was removed and confirmed as a fishbone. Partial resection of ileum, and perforated diverticulum with side-to-side anastomosis done. The patient was discharged 7 days postoperatively.\u003c/p\u003e \u003cp\u003e \u003cb\u003eDiscussion\u003c/b\u003e: perforation of the gastrointestinal tract by a fish bone foreign body is not a common event in the clinical setting. Unfortunately, with the incomplete patient history, it is usually misdiagnosed as with acute appendicitis or other pathologies. CT scan can be a useful modality to diagnose foreign bodies, however, the sensitivity is low to detect complications that occur by fish bone ingestion.\u003c/p\u003e \u003cp\u003e \u003cb\u003eConclusion\u003c/b\u003e: Preoperative diagnosis of perforated Meckel diverticulum by fish bone is really rare and difficult. The management of perforated diverticulum by fish bone on time can really reduce the rate of morbidity and immortality. It should be also included in the differential diagnosis of acute abdomen in young people.\u003c/p\u003e","manuscriptTitle":"Peritonitis of small bowel with perforated Meckel diverticulum by inadvertently fish bone: A Case report and Literature Review","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-06-11 13:37:07","doi":"10.21203/rs.3.rs-4491925/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"editorAssigned","content":"","date":"2024-05-30T10:16:18+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-05-29T00:28:12+00:00","index":"","fulltext":""},{"type":"submitted","content":"Patient Safety in Surgery","date":"2024-05-28T15:21:56+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"patient-safety-in-surgery","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"psis","sideBox":"Learn more about [Patient Safety in Surgery](http://pssjournal.biomedcentral.com/)","snPcode":"13037","submissionUrl":"https://submission.nature.com/new-submission/13037/3","title":"Patient Safety in Surgery","twitterHandle":"@EMSurgeryBMC","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"21dcfb40-6461-4b9f-8267-ed725c5a52af","owner":[],"postedDate":"June 11th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2024-06-11T13:37:07+00:00","versionOfRecord":[],"versionCreatedAt":"2024-06-11 13:37:07","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-4491925","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4491925","identity":"rs-4491925","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}