Meckel’s diverticulitis is an extremely rare cause of acute abdomen during pregnancy. Depending on the clinical presentation it can be managed either by laparoscopy or laparotomy. We report the case of a 29-year-old pregnant female, presenting with abdominal pain and distension in the early second trimester.
The abdominal Ultrasound scan was inconclusive. Magnetic resonance imaging showed small bowel obstruction with a dilated ileal loop. An inflamed Meckel’s diverticulum adherent to the fundus of the gravid uterus was identified during laparotomy. Excision of Meckel’s Diverticulum was carried out with a stapling device.
The diagnosis of Meckel’s diverticulitis can be challenging, especially in pregnancy, and a delay in diagnosis can be detrimental to the mother and foetus. Although laparoscopic management has been reported to be safe in the second trimester, in this case, the abdominal distension would have made access challenging and unsafe, and hence the decision to perform a laparotomy was taken.
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