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Spontaneous Perforation of Meckel's Diverticulum Without Peritonitis in a Newborn: Report of a Case

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Abstract

A case of a newborn male with a perforation of Meckel's diverticulum is reported. The clinical course consisted of progressive abdominal distention and pneumoperitoneum that formed within 29 h after birth. The perforation of Meckel's diverticulum was not associated with peritonitis because meconium did not contaminate the abdominal cavity. The histology of the diverticulum showed a nearly intact muscular layer but a focal muscular defect. Neither any inflammatory phenomena nor ectopic mucosa was found. A congenital focal muscular defect of the diverticulum and a sudden elevation of intraluminal pressure due to bowel movement after birth may thus be the pathogenesis of a spontaneous perforation. A search of the English literature did not reveal any similar case.

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Authors and Affiliations

  1. Division of Pediatric Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100 Tzyou 1st Road, Kaohsiung, 80708, Taiwan

    Yu-Tang Chang, Jan-You Lin & Yu-Sheng Huang

  2. Department of Surgery, Faculty of Medical School, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

    Yu-Sheng Huang

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  1. Yu-Tang Chang
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  2. Jan-You Lin
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Chang, YT., Lin, JY. & Huang, YS. Spontaneous Perforation of Meckel's Diverticulum Without Peritonitis in a Newborn: Report of a Case. Surg Today 36, 1114–1117 (2006). https://doi.org/10.1007/s00595-006-3317-3

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  • DOI: https://doi.org/10.1007/s00595-006-3317-3

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