Case: 199

Meckel's Diverticulitis

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History: 83 yo female with RLQ abdominal pain.
Solution: Meckel's diverticulum is a congenital outpouching in the distal small bowel and is the most common congenital abnormality of the GI tract. Rule of 2's is well known (2% of the population, 2 feet from the ileocecal valve, only 2% have clinical manifestations, symptoms usually manifest at 2 years of age (with the exception being diverticulitis, which can manifest at any age)). Findings described at CT include: mesenteric inflammatory changes, diverticulum communicating with small bowel, but often with an enterolith, or other cause of obstruction at time of presentation, location near midline, lack of opacification of the diverticulum with oral contrast, and mesenteric fluid. This case is "classic".

Questions

The underlying abnormality in this case is likely:
  • Iatrogenic
  • Neoplastic
  • Vascular
  • Congenital
This patient will likely undergo surgery for this pathology.
True
What is the most likely diagnosis? Please be specific.
Meckel's diverticulitis.