A STONE IN MECKELS-DIVERTICULUM, A RARE C OMPLICATION

History and clinical findings: Acute abdominal pain, radiating to the right and left lower abdomen with pain on abdominal pressure developed in a 67-year-old man. There were questionable signs of peritonitis. I nvestigations: Leukocytosis (20 000/mu l) and a high level of C-reacti ve protein (177 mg/l) were found. Ultrasound and computed tomography w ere suggestive of a stone in a Meckel's diverticulum. Treatment and co urse: This diagnosis was confirmed at surgery and there were no other abnormalities. The diverticulum with stone was resected and the patien t made an uneventful recovery. Conclusions: A stone in a Meckel's dive rticulum, although rare, should be included in the differential diagno sis of acute abdomen with radiological evidence of calcification in th e lower abdomen. The possibility of this rare complication raises the question of prophylactic resection of Meckel's diverticulum, even when it is merely an incidental finding.