Complicated Meckel's diverticulum diagnosed preoperatively in three cases by complementing CT with detailed us...

Area of Science:

• Gastroenterology and Radiology

Background:

• Meckel's diverticulum is a congenital anomaly that can lead to various complications in adults.
• Accurate diagnosis of Meckel's diverticulum complications can be challenging, necessitating advanced imaging techniques.

Observation:

• Three adult cases of Meckel's diverticulum complications are presented: perforation, intestinal bleeding, and phytobezoar-induced obstruction.
• Gastric mucosa heterotopia within the diverticulum was identified as a common factor in perforation and bleeding.
• A rare case of intestinal obstruction caused by phytobezoar impaction within Meckel's diverticulum is detailed.

Findings:

• Intradiverticular gastric heterotopia is a significant cause of bleeding and perforation in Meckel's diverticulum.
• Phytobezoar impaction leading to obstruction is an exceptionally rare presentation of Meckel's diverticulum.
• Combined computed tomography (CT) and ultrasound (US) imaging are crucial for diagnosing these complex cases.

Implications:

• Early and accurate diagnosis of Meckel's diverticulum complications is vital for timely surgical intervention.
• The study highlights the importance of integrated CT and US imaging in managing challenging Meckel's diverticulum presentations.
• Understanding the varied clinical and imaging features aids in improving patient outcomes for Meckel's diverticulum.