Apendicitis aguda más divertículo de Meckel

Abstract

The transcendental objective of this work is to make known that in a surgical treatment for abdominal pathologies, there may be incidental findings, the same ones that will allow us to be aware of their characteristics and evolutions, in order to continue with the commitment in favor of patients as It is our professional ethics. The present case is about a male patient of 7 years of age, mestizo, Catholic born and resident in Latacunga. student occupation, surgical pathological antecedent of right inguinal hernia treated surgically 5 years ago, who enters the Emergency Service due to abdominal pain type located in the epigastrium of six hours of evolution that radiates to the right iliac fossa, of great intensity accompanied by thermal increase and anorexia. To the physical examination positive appendiceal maneuvers; in the laboratory evidences leukocytosis of 13300 / uL with deviation to left, so he is admitted to the Pediatric Service with diagnosis of acute appendicitis, undergoing surgery to perform an appendectomy, drawing attention to an alteration in the path of the intestinal loops , provoking this the incidental finding of a Meckel's diverticulum at 65 cm of ileocecal valve attached to the urinary bladder and connected to the omphalomesenteric duct. After the intervention, the patient progressively improves, remaining hospitalized for 9 days; is discharged under stable conditions.