case_images: PMC9350442_01
case_images: Contrast enhanced computed tomography in the coronal (a) and sagittal (b) planes demonstrating a tubular, blind-ending structure arising from antimesenteric border of the distal ileum with enhancing walls, suggestive of Meckel's diverticulum (white arrows). No abnormal wall thickening or surrounding fat inflammation was present.
case_images: SAJR-26-2431-g001.jpg
case_images: PMC9350442_01_SAJR-26-2431-g001.jpg
case_images: F0001
case_images: In addition, a tubular diverticulum was seen arising from the antimesenteric border of the distal ileum, just proximal to the ileocecal junction (Figure 1).
case_images: PMC9350442_02
case_images: X-ray abdomen (a) erect anteroposterior view shows dilated gas-filled bowel loops with multiple air-fluid levels. Contrast enhanced computed tomography in the axial (b) and coronal (c, d) planes shows dilated small bowel loops with an inflamed Meckel's diverticulum (white arrows) arising at the level of the transition point.
case_images: SAJR-26-2431-g002.jpg
case_images: PMC9350442_02_SAJR-26-2431-g002.jpg
case_images: F0002
case_images: A tubular blind-ended structure arising from the antimesenteric border was seen at the transition point (Figure 2).
case_images: Intraoperative image demonstrated the inflamed Meckel's diverticulum (white arrow) causing a stricture of the distal ileum resulting in intestinal obstruction.
case_images: SAJR-26-2431-g003.jpg
case_images: PMC9350442_02_SAJR-26-2431-g003.jpg
case_images: F0003
case_images: The patient immediately proceeded to laparotomy, where an inflamed MD was found, causing a stricture in the adjoining distal ileum (Figure 3).
case_images: PMC9350442_03
case_images: Contrast enhanced computed tomography in the axial (a, b) and sagittal (c) planes revealed a Meckel's diverticulum (white arrows) with wall thickening and enhancement, surrounded by fat inflammation suggestive of Meckel's diverticulitis.
case_images: SAJR-26-2431-g004.jpg
case_images: PMC9350442_03_SAJR-26-2431-g004.jpg
case_images: F0004
case_images: Contrast enhanced CT abdomen revealed the presence of a MD with thickened, enhancing walls associated with inflammatory changes in the adjacent fat (Figure 4).
case_images: PMC9350442_04
case_images: Contrast enhanced computed tomography in the axial plane shows a tubular blind-ending structure arising from antimesenteric border of the distal ileum with surrounding free air suggestive of a perforated Meckel's diverticulum (white arrow).
case_images: SAJR-26-2431-g005.jpg
case_images: PMC9350442_04_SAJR-26-2431-g005.jpg
case_images: F0005
case_images: An urgent CECT abdomen was performed, which indicated an inflamed perforated MD arising from the distal ileum with free extraluminal air (Figure 5).
case_images: PMC9350442_05
case_images: Contrast enhanced computed tomography in the axial (a, b, c) and coronal (d, e and f) planes show dilated small bowel loops with air-fluid levels. An inflamed Meckel's diverticulum (white arrows) was seen arising at the level of the transition point (red arrow). An enhancing linear band was seen arising from the Meckel's diverticulum, extending towards umbilicus (white arrow in f).
case_images: SAJR-26-2431-g006.jpg
case_images: PMC9350442_05_SAJR-26-2431-g006.jpg
case_images: F0006
case_images: A MD was seen at the level of the transition point, with its tip reaching up to the umbilicus (Figure 6).