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Meckel's diverticulum complicated by axial torsion and gangrene

Andrew A H Hadeed1, Robert R A Azar2, Nabiel N A Azar2

  • 1Western University of Health Sciences, Lebanon, OR, USA.

Journal of Surgical Case Reports
|March 4, 2015
PubMed

Insights

Meckel

Area of Science:

  • Gastroenterology
  • Surgical Case Reports
  • Congenital Anomalies

Background:

  • Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, arising from the omphalomesenteric duct.
  • It often presents with diagnostic challenges due to its ability to mimic various disease states.
  • Common complications include bleeding, intestinal obstruction, and inflammation.

Observation:

  • A 29-year-old Hispanic female presented with right lower quadrant abdominal pain.
  • CT scan revealed a normal appendix, thickened terminal ileum, and a high-grade distal small bowel obstruction, suggestive of a closed-loop obstruction.
  • Laparoscopy identified Meckel's diverticulum complicated by a rare event of torsion.

Findings:

  • The case report discusses the likely mechanism of axial torsion, attributing it to the presence of a mesodiverticular band.
  • Visual evidence of this surgical finding is provided.
  • The study highlights the association between Meckel's diverticulum, mesodiverticular bands, and torsion.

Implications:

  • The findings suggest that mesodiverticular bands may predispose Meckel's diverticulum to torsion.
  • Resection of Meckel's diverticulum associated with a mesodiverticular band is recommended to prevent complications.
  • This case contributes to understanding the pathophysiology of Meckel's diverticulum complications.

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