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Meckels diverticulum and intestinal ischaemia

J Halliday1, Rw Jamieson1, Te Gillies1

  • 1Royal Infirmary of Edinburgh, Edinburgh, UK.

Journal of Surgical Case Reports
|June 21, 2014
PubMed

Insights

A rare case of intestinal ischemia, caused by a Meckel's diverticulum twisting, required surgical resection. This potentially fatal complication highlights diagnostic challenges in abdominal emergencies.

Area of Science:

  • Gastroenterology
  • Surgical Case Report

Background:

  • Meckel's diverticulum is a rare congenital small bowel abnormality.
  • Complications are uncommon but can be severe, including intestinal ischemia.

Purpose of the Study:

  • To report an exceptional case of intestinal ischemia secondary to torsion around a Meckel's diverticulum.
  • To highlight the diagnostic challenges associated with Meckel's diverticulum complications.

Main Methods:

  • Case presentation of a 62-year-old woman with sudden onset abdominal pain and vomiting.
  • Diagnostic workup including ultrasound and laparoscopy.
  • Surgical intervention involving resection of infarcted small bowel.

Main Results:

  • Laparoscopy revealed free blood and a gangrenous loop of small bowel.
  • A 640 mm segment of infarcted small bowel, torted around a Meckel's diverticulum, was resected.
  • The patient's presentation mimicked cholecystitis initially.

Conclusions:

  • Torsion around a Meckel's diverticulum can cause life-threatening intestinal ischemia requiring resection.
  • Diagnosis can be challenging, often mistaken for more common surgical conditions.
  • Early recognition and surgical management are crucial for favorable outcomes.

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