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[Meckel's diverticulum duplication revealed by acute operation of ileus: a case report]

Masami Urakawa1, Tatsuo Ikeno, Takuma Arai

  • 1Department of Surgery, Shinonoi General Hospital, Japan. urashinonoi@mail.goo.ne.jp

Nihon Shokakibyo Gakkai Zasshi = the Japanese Journal of Gastro-Enterology
|April 7, 2009
PubMed

Insights

This case report details an extremely rare instance of two Meckel diverticula causing intestinal strangulation and peritonitis. The adhesion was caused by a crab shell within one of the diverticula.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel diverticulum is a congenital anomaly of the small intestine.
  • It is the most common congenital malformation of the gastrointestinal tract.
  • Complications include obstruction, hemorrhage, and diverticulitis.

Observation:

  • A 29-year-old male presented with abdominal pain and peritonitis.
  • Emergency surgery revealed a strangulated Meckel diverticulum (30cm) adhered to the mesentery.
  • A second, smaller Meckel diverticulum was also identified.
  • A crab shell within the larger diverticulum was the likely cause of adhesion.

Findings:

  • The presence of two Meckel diverticula is exceptionally rare.
  • One diverticulum caused significant intestinal strangulation.
  • A foreign body (crab shell) acted as a nucleus for adhesion formation.

Implications:

  • This case highlights the potential for Meckel diverticula to cause severe complications.
  • It underscores the importance of considering rare congenital anomalies in cases of intestinal obstruction and peritonitis.
  • The foreign body etiology for adhesion is a unique finding that warrants further attention.

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