Primary intestinal anastomosis in a child with perforation of Meckel’s diverticulum and peritonitis

This paper presents the treatment course of a 13-year-old child with Meckels gangrenous-perforative diverticulitis complicated by diffuse peritonitis. The perforation was localized at base diverticulum; therefore, ileal resection performed. Peritonitis required difficult choice further surgical management, i.e., stoma formation or primary intestinal anastomosis. Nowadays, an enterostomy is considered most reliable and rational option after bowel in peritonitis conditions. However, this issue has become increasingly controversial. Many studies have confirmed success anastomosis, regardless severity degree contamination abdominal cavity, even noting advantages radical prevention various stoma-related complications. In presented clinical case, underwent anastomosis despite exudative inflammatory process cavity. chosen because stable general condition child, satisfactory central peripheral hemodynamics, absence significant hydrobalance disorders. No complications occurred during postoperative period. discharged on day 7. study, we aimed to evaluate our experience approach