The mesenteric Meckel’s diverticulum (MD) has remained a rare finding since its first sighting in 1941. Its diagnosis as an MD has also been debated given its nonantimesenteric location yet possession of other features similar to the traditional MD. In this case, we re-visit the clinical and histological features of this phenomenon, and discuss a severe acute presentation of this pathology never described before. A usually well 43-year-old male was septic with pneumoperitoneum and faeculant peritonitis. Emergency laparotomy revealed a mesenteric Meckel’s diverticulitis with perforation. It is imperative for surgeons to recognise the existence of mesenteric MDs to avoid missing a potentially life-threatening pathology.
Juliana Ying Liang Mai* and Janaka Balasooriya