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Inverted Meckel's diverticulum manifested as adult intussusception: Age does not matter
Eleni Sioka1, Gregory Christodoulidis, Grigorios Garoufalis
1Eleni Sioka, Gregory Christodoulidis, Grigorios Garoufalis, Dimitris Zacharoulis, Department of General Surgery, University Hospital of Larissa, Mezourlo, 41110, Larissa, Greece.
World Journal of Gastrointestinal Surgery
|October 19, 2011
Summary
Adult intussusception, a rare cause of bowel obstruction, often presents with non-specific symptoms. Early surgical intervention for intussusception due to Meckel
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Adult intussusception is an uncommon cause of intestinal obstruction.
- Meckel's diverticulum (MD) can precipitate intussusception in adults, presenting diagnostic challenges due to non-specific symptoms.
- Early surgical intervention is crucial to prevent morbidity and mortality.
Purpose of the Study:
- To report two cases of adult intussusception secondary to Meckel's diverticulum.
- To discuss the surgical management options and outcomes.
Main Methods:
- Case report of two adult patients with intussusception due to MD.
- Surgical intervention included diverticulectomy with a TA stapler in one case.
- Segmental small bowel resection and hand-sewn anastomosis in the second case due to extensive fibrosis.
Main Results:
- Both patients experienced uneventful postoperative periods and long-term follow-up.
- Surgical management decisions were guided by the condition of the intussuscepted bowel.
Conclusions:
- Adult intussusception due to Meckel's diverticulum requires high clinical suspicion.
- Surgical approach (diverticulectomy vs. resection) should be tailored to the specific case.
- Timely surgical intervention is key to favorable outcomes.
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