Alicia M Yochum1, Eve E Bonic2, Terry R Yochum3, Norman W Kettner4. 1. Diagnostic Imaging Resident, Logan University, Chesterfield, MO. 2. Fellow in Diagnostic Imaging, Department of Radiology, Logan University, Chesterfield, MO. 3. Adjunct Faculty, Department of Radiology, Logan University, Chesterfield, MO. 4. Chair, Department of Radiology, Logan University, Chesterfield, MO.
Abstract
OBJECTIVES: The purpose of this case report is to describe a patient who presented with low back pain and episodic right lower quadrant pain who had a long-standing giant Meckel diverticulum with enteroliths. CLINICAL FEATURES: A 49-year-old woman presented to a chiropractic clinic with low back pain and history of intermittent right lower quadrant pain. Lumbar radiography demonstrated calcifications in the pelvic basin that changed position with changes in patient posture. The patient was referred to an abdominal surgeon for consultation and management. INTERVENTION AND OUTCOME: Computed tomography identified calcifications in the small bowel in the region of the ileocecal valve. The patient underwent prophylactic diverticulectomy with no complications. Gross pathology revealed a giant Meckel diverticulum measuring 24 inches (60.9 cm) containing 6 enteroliths. CONCLUSIONS: A timely diagnosis resulted in a favorable surgical outcome for this patient with long-standing giant Meckel diverticulum and enteroliths.
OBJECTIVES: The purpose of this case report is to describe a patient who presented with low back pain and episodic right lower quadrant pain who had a long-standing giant Meckel diverticulum with enteroliths. CLINICAL FEATURES: A 49-year-old woman presented to a chiropractic clinic with low back pain and history of intermittent right lower quadrant pain. Lumbar radiography demonstrated calcifications in the pelvic basin that changed position with changes in patient posture. The patient was referred to an abdominal surgeon for consultation and management. INTERVENTION AND OUTCOME: Computed tomography identified calcifications in the small bowel in the region of the ileocecal valve. The patient underwent prophylactic diverticulectomy with no complications. Gross pathology revealed a giant Meckel diverticulum measuring 24 inches (60.9 cm) containing 6 enteroliths. CONCLUSIONS: A timely diagnosis resulted in a favorable surgical outcome for this patient with long-standing giant Meckel diverticulum and enteroliths.