PMC6501473_01
Intraoperative image of a minilaparotomy showing Meckel diverticulum (arrowhead - Meckel diverticulum; arrow - small intestine).
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Procedure converted to a small infra-umbilical midline laparotomy, where a wedge small bowel resection of the involved small bowel segment and appendicectomy were performed (Figure 1).
Histopathologic findings: (A) low-power histopathologic view of the small bowel mucosa (right) and gastric mucosa with acid-secreting glands (left) (H&E). (B) Medium-power histopathologic view of the clusters of parietal cells acid-secreting glands with scattered lymphocytes present between the glands (H&E). (C) Immunohistochemical staining with anti-Helicobacter pylori (SP48) Rabbit Monoclonal Primary Antibody (VENTANA anti-H pylori (SP48)) confirmed diagnosis of H pylori infection. H&E indicates haematoxylin and eosin.
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The final histopathology showed inflamed heterotopic acid-secreting-type gastric mucosa within a Meckel diverticulum, with evidence of localised peritonitis (Figure 2).