Cystic Meckel's diverticulum: A rare cause of cystic pelvic mass presenting with urinary symptoms

An atypical form of Meckel's diverticulum is presented. A 5-year-old girl w as admitted with recurrent urinary tract infections. Ultrasonography showed a cystic mass, which pressed and displaced the urinary bladder on its post erosuperior aspect. Laparotomy results showed a cystic mass originating fro m the antimesenteric border of the ileum, which was attached tightly to the urinary bladder. It was diagnosed as a cystic Meckel's diverticulum, which had undergone abscess formation with preservation of the ileal mucosa in s ome areas and had severe inflammatory changes on its wall. The case is uniq ue both in the mode of presentation and type of complication. Copyright (C) 2001 by W.B. Saunders Company.