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An Unusual Cause of Meckels Diverticulum Enterolithiasis Imitating a Pelvic Teratoma-What to do in Case of Unexpected Meckels Diverticulum?

Author(s): Yusef Moulla, Romy Handzel, Jens Einenkel, Arne Dietrich

A 47-year-old woman presented with a history of 4 weeks of recurring pain in the right lower abdomen. Transvaginal ultrasound scan showed an irregular shaped solid mass of 45 × 26 × 45 mm in the right ovarian fossa with increased perfusion. CT-scan suspected an ovarian tumor with evidence of teeth in terms of a teratoma in the right adnexal area. Finally, our findings were suggestive of an ovarian teratoma and the decision for laparoscopy was made. Intraoperatively both ovaries were unsuspicious but a Meckel’s diverticulum with enterolithiasis was found in the right pelvis and removed. Meckel’s diverticulum is present in 1-2% of the population and here we will discuss general removel recommandations.

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