Perforation of Meckel’s diverticulum in a patient with sclerosing mesenteritis – a case report

Andrzej Żyluk, Włodzimierz Majewski


Sclerosing mesenteritis is a rare abdominal condition characterized by chronic inflammation and the fibrosis of fat tissue, typically involving the small bowel mesentery. This article presents a case of a 62-year-old patient suffering from sclerosing mesenteritis, whose disease was complicated by perforation of his Meckel’s diverticulum. Proper diagnosis of perforation was delayed due to the presence of ascites which masked signs of peritonitis. The patient was operated on and the perforated diverticulum was resected. The post-operative course was complicated by an episode of intraabdominal bleeding, however, the patient survived. The presented case is probably the first description of a perforation of Meckel’s diverticulum in a patient suffering from sclerosing mesenteritis.


sclerosing mesenteritis; Meckel’s diverticulum – complications; bowel perforation

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Green MS, Chhabra R, Goyal H. Sclerosing mesenteritis: a comprehensive clinical review. Ann Transl Med 2018;6(17):336. doi: 10.21037/atm.2018.07.01.

Danford CJ, Lin SC, Wolf JL. Sclerosing mesenteritis. Am J Gastroenterol 2019;114(6):867-73.

Sharma P, Yadav S, Needham CM, Feuerstadt P. Sclerosing mesenteritis: a systematic review of 192 cases. Clin J Gastroenterol 2017;10(2):103-11.

Corado SC, Almeida H, Baltazar JR. A severe case of sclerosing mesenteritis. BMJ Case Rep 2019;8:12(7). pii: e229035. doi: 10.1136/bcr-2018-229035.

Gupta K, Jindal SP, Madaan V, Gupta R, Tandon V, Govil D. Malignant masquerade sclerosing mesenteritis: a case report and review. Int J Surg Case Rep 2018;53:265-8.

Butt Z, Alam SH, Semeniuk O, Singh S, Chhabra GS, Tan IJ. A case of IgG4-related sclerosing mesenteritis. Cureus 2018;10(2):e2147. doi: 10.7759/cureus.2147.

Ueno M, Nishimura N, Shimodate Y, Doi A, Mouri H, Matsueda K, et al. Sclerosing mesenteritis diagnosed with computed tomography and ultrasound-guided needle biopsy: the utility of the coaxial technique. Clin J Gastroenterol 2018;11(1):92-5.


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