Abstract
The patient was a 27-year-old woman. One month after delivery, she presented with a uterine perforation during evacuation of the uterus at a local hospital. She was then transferred to our center due to prolapse of the small bowel into the uterine cavity. The small bowel that had prolapsed into the uterine cavity had also prolapsed into the vagina, and emergency surgery was performed. Operative findings showed that the ileum 50–75 cm oral from the terminal ileum had prolapsed and was incarcerated in the uterine cavity, for which partial resection of the small bowel and uterine suture were performed. On examination of the extracted specimen, Meckel’s diverticulum was found adjacent to the ileal perforation. It was assumed that during the evacuation of the uterus, a Meckel’s diverticulum was misrecognized as uterine content and extracted, resulting in prolapse of the ileum involving the Meckel’s diverticulum, located at the tip of the prolapsed ileum. To our knowledge, this is the first reported case of uterine perforation during evacuation of the uterus resulting in incarceration and perforation of the ileum in a patient with Meckel’s diverticulum. We report this case with a literature review.
