A 40-year-old pregnant wo...

A 40-year-old pregnant woman presented to an emergency room at 33 weeks of gestation with diffuse abdominal pain, nausea, vomiting, and constipation. Physical examination showed a distended and tender abdomen. She had elevated white blood cell count and C-reactive protein, and her abdominal-pelvic CT scan showed densification of pericolic fat tissue suggesting an inflammatory process. Despite empirical broad-spectrum antibiotics and corticosteroids for fetal lung maturation, the patient's condition worsened with intense pain, abdominal guarding, rebound, and an increase in inflammatory parameters. An urgent caesarean section was performed due to an acute abdomen and pathological fetal cardiotocography, revealing a distended and necrotic Meckel's diverticulum with a perforation site (Figure 1). Segmental small bowel resection with mechanical anastomosis was performed. The patient had a successful recovery and was discharged after four days.