PMC2630308_01
Preoperative Computed Tomography scanner showing a 3 x 3 cm abscess in right iliac fossa (arrow) as well as extensive inflammation of the terminal ileum (*).
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F1
She had been diagnosed with Crohn's disease 2 months before, and a computed tomography (CT) scan demonstrated active inflammation of the terminal ileum, as well as a 3 x 3 cm abscess in the right iliac fossa (Figure 1).
Laparoscopic approach demonstrating an inflammatory mass corresponding to the Meckel's diverticulum (arrow) adherent to the abdominal wall (*).
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PMC2630308_01_1752-1947-3-12-2.jpg
F2
The origin of the abscess proved to be a perforated Meckel's diverticulum (Figure 2).
Histology of resected Meckel's diverticulum: (A) active chronic transmural inflammation with micro-abscesses and granulomas (x40); (B) enlarged view (x400) of a giant cell granuloma.
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PMC2630308_01_1752-1947-3-12-3.jpg
F3
Pathological examination of the surgical specimen revealed the presence of an active transmural inflammation with granulomas and perforation of the diverticulum at its extremity (Figure 3).