A Case Report of Perforated Meckel's Diverticulum Caused by Fish Bone and Review of Japanese Litereture

Mitsuru Tanaka, Hirofumi Utsunomiya, Yasuo Matsutani, Hiroyuki Nakayama, Kohaku Ko, Tadashi Yokoyama, Masashi Noguchi, Masae Tsuji, Sumio Mukaihara, Yasuo Kamiyama

Department of Surgery, Kyoto City Hospital

Perforation of Meckel's diverticulum is very unusual, and may be caused by heterotopic tissue, a foreign body, a tumor or Crohn's disease. Perforation of Meckel's diverticulum by a fish bone is by far the rarest occurrence: A review of the Japanese literature revealed that only 4 cases have been reported to date. The following case report of a 4-year-old boy brings the total to 5. In the present case, it is of particular interest that both ends of the fish broke through the wall of Meckel's diverticulum. The diverticulum was excised, and histological examination revealed no heterotopic tissue.

Key words
perforated Meckel's diverticulum, perforation by fish bone

Reprint requests
Mitsuru Tanaka Department of Surgery, Kyoto City Hospital
1-2 Higashi Takadacho Mibu, Nakagyo-ku, Kyoto, 604 JAPAN

Accepted
January 8, 1992

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