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Preoperative CT scan of the abdomen and pelvis showing a large central mass with inflammation and evidence of contained perforation.
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A CT scan of the abdomen and pelvis was obtained prior to surgical consultation, which showed a central inflammatory mass, surrounded by small bowel with evidence of intramural air and possible perforation (Fig. 1).
During the laparotomy a large spherical, pedunculated mass arising from the distal ileum with evidence of inflammation and perforation, consistent with Giant Meckel's diverticulitis.
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The loop of small bowel containing the mass was then resected (Fig. 2), and intestinal continuity restored by constructing a functional termino-terminal anastomosis with a surgical stapler (GIA, Covidien-Medtronics, Minneapolis MN).