Multiple inflammatory polyps resulted from Meckel's diverticulitis presenting with chronic abdominal pain: A case report

Int J Surg Case Rep. 2022 Aug:97:107392. doi: 10.1016/j.ijscr.2022.107392. Epub 2022 Jul 8.

Abstract

Introduction and importance: In most diverticulitis of Meckel's Diverticulum (MD), perforation, obstruction and hemorrhage causing acute abdomen are seen, however, multiple inflammatory polyps(IPs) are rare, which are seen in our case.

Case presentation: We present the case of 28-year-old female, who was admitted in the clinic for intermittent abdominal pain for 5 years. Histopathology suggested MD chronic diverticulitis and multiple inflammatory polyps.

Clinical discussion: Our patient presented was diagnosed preoperatively with suspected MD, and an laparoscopy was indicated. Intraoperatively, a huge MD with multiple IPs was found and treated by surgical excision and the specimens were sent for histopathological analysis. Histopathology revealed MD's diverticulitis with IPs containing ectopic gastric mucosa. The patient had successful recovery.

Conclusion: Meckel's diverticulitis is a rare cause of multiple IPs. This case can remind physicians that IPs caused by Meckel's diverticulum should be considered in differential diagnosis of adults presenting with the isolated symptom of chronic abdominal pain.

Keywords: Chronic abdominal pain; Meckel's diverticulitis; Multiple inflammatory polyps.