Bowel Perforation due to Complicated Meckel’s Diverticulum in an Adult Living Donor Liver Transplant Recipient

Meckel’s diverticulum is a rare cause of bowel perforation in liver transplant recipients. The aim of the present study is to discuss our management protocol in a 57-year old male liver transplant recipient with intestinal perforation due to complicated Meckel’s diverticulum. We report a case of 57 years old male liver transplant recipient who had abdominal sepsis on posttransplant 13th day. He was operated on and found to have Meckel’s diverticulum that caused intestinal perforation due to volvulus around fibrous bands extending to the anterior abdominal wall. Segmental bowel resection with end-jejunostomy was performed. The patient had sepsis on the postoperative period and is followed in intensive care unit and treated with a combination of antibiotics.
Meckel’s diverticulum is a rare cause of bowel perforation and this is the first case presenting with perforation in early post-transplant period. Stoma is beneficial for reduction of abdominal sepsis related symptoms. Preemptive diverticulectomy should be considered for prevention of serious complications such as perforation.