# Concurrent Appendicitis and Meckel’s Diverticulitis Presenting With Small Bowel Obstruction in an Adult: A Case Report

## TL;DR

A 33-year-old woman had both appendicitis and Meckel’s diverticulitis causing bowel obstruction, highlighting the need for thorough diagnosis.

## Contribution

This case report highlights the rare co-occurrence of appendicitis and Meckel’s diverticulitis in an adult.

## Key findings

- The patient had acute appendicitis and Meckel’s diverticulitis simultaneously.
- Surgical intervention resolved both conditions successfully.
- The case underscores the importance of comprehensive differential diagnosis in abdominal emergencies.

## Abstract

We present a case of multiple abdominal pathologies occurring simultaneously, which emphasizes the importance of keeping a broad differential and evaluating each diagnosis. A 33-year-old female presented with abdominal pain, nausea, and vomiting. Her workup included computerized tomography which demonstrated acute appendicitis with concern for a closed-loop bowel obstruction. She was offered diagnostic laparoscopy with anticipation of laparoscopic appendectomy and further evaluation for the source of the bowel obstruction. At the time of surgery, a Meckel’s diverticulum with acute diverticulitis was identified, in addition to an inflamed appendix. A small band near the base of the Meckel’s diverticulum was found and divided. The appendix was treated with a laparoscopic appendectomy and the Meckel's diverticulum was resected. She did well in recovery and continued to do well at her follow-up appointment. This case emphasized the importance of a thorough evaluation of a patient’s differential diagnosis, as it is possible for multiple pathologies to occur simultaneously.