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Double Meckel's diverticulum presenting as acute appendicitis: a case report and literature review

Arif Emre1, Sami Akbulut, Mehmet Yilmaz

  • 1Department of Surgery, Malatya State Hospital, Malatya, Turkey.

The Journal of Emergency Medicine
|January 24, 2013
PubMed
Abstract

Insights

This case report details an extremely rare instance of double Meckel's diverticulum found in a young woman presenting with appendicitis-like symptoms. The study highlights the rarity of this congenital gastrointestinal anomaly.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Congenital Anomalies

Background:

  • Meckel's diverticulum, a common congenital gastrointestinal anomaly affecting 1-3% of the population, results from incomplete obliteration of the omphalomesenteric duct.
  • It is typically located in the distal ileum and often discovered incidentally during surgery for other conditions.
  • Complications include bleeding, obstruction, diverticulitis, and perforation.

Observation:

  • A 20-year-old woman presented with right lower quadrant pain, nausea, and vomiting, mimicking acute appendicitis.
  • Laparotomy revealed a double Meckel's diverticulum 50 cm proximal to the ileocecal valve, with no evidence of acute appendicitis.
  • The patient underwent successful diverticulectomy and appendectomy with an uncomplicated postoperative course.

Findings:

  • This study reports an extremely rare case of double Meckel's diverticulum.
  • A literature review identified only five previously published case reports of this specific variant.
  • The rarity underscores the importance of thorough surgical exploration when diagnosing abdominal pathologies.

Implications:

  • This case emphasizes the importance of considering rare congenital anomalies in differential diagnoses for abdominal pain.
  • Accurate identification and surgical management are crucial for preventing potential complications associated with Meckel's diverticulum.
  • Further case reports are valuable for understanding the clinical spectrum and management of rare gastrointestinal anomalies.

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