RESUMO
We report a rare case of caecal obstruction in an anticoagulated elderly patient, who presented with abdominal pain and per-rectal bleeding. CT revealed obstruction in the ascending colon. The patient subsequently underwent a right hemicolectomy for a massively distended caecum containing a large intraluminal haematoma causing obstruction.
Assuntos
Doenças do Ceco/complicações , Ceco/patologia , Colo Ascendente/patologia , Doenças do Colo/etiologia , Hematoma/complicações , Obstrução Intestinal/etiologia , Dor Abdominal/etiologia , Idoso , Doenças do Ceco/patologia , Doenças do Ceco/cirurgia , Ceco/cirurgia , Colectomia , Doenças do Colo/patologia , Doenças do Colo/cirurgia , Feminino , Hemorragia Gastrointestinal/etiologia , Humanos , Obstrução Intestinal/patologia , Obstrução Intestinal/cirurgiaRESUMO
Common complications of Meckel's diverticulum in children include gastrointestinal haemorrhage, intestinal obstruction or intussuception and diverticulitis. Here, the rare case of a perforated, non-inflamed Meckel's diverticulum causing significant haemoperitoneum in a young child, is reported. The case highlights the potential for rapid deterioration of patients with complications form vitelline duct abnormalities, for which surgical exploration should not be delayed.
