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Published on: March 5, 2018
Meckel's diverticulum causing intestinal obstruction
R T Prall1, M P Bannon, A E Bharucha
1Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
Abstract:
Meckel's diverticulum is an uncommon cause of acute abdominal pain and small bowel obstruction in adults. We present a case of a 31-yr-old man with recurrent vomiting and abdominal pain in whom the diagnosis of Meckel's diverticulum was not suspected until CT of the abdomen revealed multiple fluid-filled, dilated loops of ileum with distal collapse after normal abdominal radiographs. We suggest that CT may be helpful when the diagnosis of Meckel's diverticulum is suspected.
Insights
Meckel's diverticulum, a rare cause of abdominal pain, can lead to small bowel obstruction. Computed tomography (CT) scans are valuable for diagnosing this condition when initial radiographs are normal.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Diagnostic Imaging
Background:
- Meckel's diverticulum is an infrequent cause of acute abdominal pain and small bowel obstruction in adults.
- Early diagnosis is crucial for effective management and preventing complications.
Observation:
- A case is presented of a 31-year-old male with symptoms of recurrent vomiting and abdominal pain.
- Initial abdominal radiographs did not reveal the cause of the patient's distress.
Findings:
- Computed tomography (CT) of the abdomen identified multiple fluid-filled, dilated ileal loops with distal collapse, indicative of Meckel's diverticulum.
- The diagnosis was confirmed post-CT imaging, as it was not suspected initially.
Implications:
- CT imaging can be a critical tool for diagnosing Meckel's diverticulum when suspected.
- This case highlights the utility of advanced imaging in identifying uncommon causes of abdominal pathologies.
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