Abstract

Meckel’s Diverticulum (MD) is a rare condition defined as a heterotopic gastric or pancreatic tissue in the small intestine, secondary to persistence of the congenital vitello-intestinal duct. It is the remnant of the yolk channel located about 60-80 cm from the ileocecal junction. Simultaneous existence of a Meckel’s Diverticulum and a patent urachus is an uncommon situation .It may be asymptomatic for long time .MD is a common anomaly of the small intestine that occurs in approximately 2% of the population, often found incidentally at the time of abdominal exploration. Complications arising from a Meckel’s diverticulum or urachal remnant may clinically mimic acute appendicitis and other surgical pathologies. We report on a patient who referred to pediatric surgery with abdominal pain and deterioration of general status. On physical examination his abdomen was distended with guarding. A diagnosis of acute peritonitis by intestine perforation was made. The patient underwent a surgery and in the course of the surgery, a urachal remnant was found to coexist with a Meckel’s diverticulum.