@article{ref1,
title="Traumatic rupture of a Meckel's diverticulum due to blunt abdominal trauma in a soccer game: a case report",
journal="International journal of surgery case reports",
year="2016",
author="Tummers, W. S. and van der Vorst, J. R. and Swank, D. J.",
volume="19",
number="",
pages="8-10",
abstract="INTRODUCTION: a Meckel's diverticulum is one of the most common congenital anomalies of the digestive tract. The reported lifetime complication rate is 4%, mostly due to hemorrhage, obstruction, perforation or inflammation. A symptomatic Meckel's diverticulum due to rupture after blunt abdominal trauma is very rare. We believe this case report is the first reporting a rupture of a Meckel's diverticulum after a low velocity blunt abdominal trauma and outlining the importance of a thorough and complete examination of the patient after blunt abdominal trauma. PRESENTATION OF CASE: a 17-year-old male presented with abdominal pain after blunt abdominal trauma during a soccer game. Physical examination showed signs of peritonitis in all quadrants of the abdomen. During admission the patient deteriorated with decreasing blood pressure and raising pulse rate. A CT-scan showed free abdominal fluid. Our patient was scheduled for an emergent laparotomy where a perforated Meckel's diverticulum with fecal spill was found. A segmental ileal resection was performed. Post-operative, patient developed a pneumonia and also intra-abdominal abscesses treated with percutaneous drainage. After an admission period of 17-days the patient was discharged. <br><br>CONCLUSION: perforation of a Meckel's diverticulum is rarely suspected as a cause of acute deterioration following blunt abdominal trauma. This case shows the importance of awareness of this kind of injury especially in male patients.<br><br>Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="2210-2612",
doi="10.1016/j.ijscr.2015.12.002",
url="http://dx.doi.org/10.1016/j.ijscr.2015.12.002"
}