DOI: 10.36347/SJMCR.2019.v07i12.004

Pages: 737-739

Meckel's diverticulum is benign and mostly asymptomatic.it is the most common congenital abnormality of the small intestine that results from incomplete closure of the vitelline (omphalo-mesenteric) duct. This true diverticulum, which is commonly found on the anti-mesenteric border of the ileum. Diagnosis challenges arise when it became inflamed or presented in following ways: a) hemorrhage (caused by ectopic pepsin-and hydrochloric acid-secreting gastric mucosa), b) intestinal obstruction (secondary to intussusceptions or volvulus), c) presence of diverticulum in the hernia sac (Littre's hernia). We report a case of a 47-year-old male who was admitted under the surgical unit at King Fahad Hospital Hufof with suspicion of appendicitis that turned out to be a Meckel's diverticulitis, a rare presentation of an acute abdomen.