Recognition of the combination of acute appendicitis with strangulated intestinal obstruction caused by Meckel's diverticulum

Patient U., 17 years old, I / VIII-58, at 22 o'clock with a diagnosis of acute appendicitis, was taken to the surgical department. Suddenly fell ill at 7 o'clock. ago. Pains appeared in the right half of the abdomen, nausea. Abdominal pains were noted in 1953 and 1956; was treated on an outpatient basis. The abdomen is moderately tense in the right iliac region, soreness at McBurney's point, Blumberg-Shchetkin's symptom on the right is positive. The tongue is not coated. Temperature - 37.0 . Pulse - 84, satisfactory filling.