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An unusual presentation of Meckel's diverticulum
U Ihedioha1, S Panteleimonitis1, M Patel1
1Northampton General Hospital, Northampton, UK.
Journal of Surgical Case Reports
|June 25, 2014
Summary
A Meckel's diverticulum, a rare gastrointestinal condition, was unexpectedly found during surgery for a presumed ovarian cyst. This case highlights the diagnostic challenges posed by unusual presentations of Meckel's diverticulum.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Meckel's diverticulum can manifest with atypical symptoms, complicating diagnosis.
- Previous extensive investigations failed to identify the cause of a massive gastrointestinal bleed in this patient.
Purpose of the Study:
- To report a unique case of Meckel's diverticulum presenting as a large ovarian cyst.
- To emphasize the importance of considering rare gastrointestinal pathologies in complex diagnostic scenarios.
Main Methods:
- A 63-year-old female presented with a large right-sided ovarian cyst.
- Surgical exploration revealed a Meckel's diverticulum with a large calculus.
- The patient underwent surgical resection of the diverticulum.
Main Results:
- A Meckel's diverticulum, located in the left lumbar region and containing a large calculus, was identified intraoperatively.
- The patient had a history of unexplained massive gastrointestinal bleeding requiring multiple transfusions.
- Post-operative recovery was uneventful.
Conclusions:
- Meckel's diverticulum should be considered in the differential diagnosis of unexplained gastrointestinal bleeding and unusual abdominal masses.
- Atypical presentations of Meckel's diverticulum can lead to delayed diagnosis and misdiagnosis.
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