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Unusual Presentation of Meckel's Diverticulum: Gangrene due to Axial Torsion

Ahmet Rencuzogullari1, Kubilay Dalci1, Orcun Yalav1

  • 1Department of General Surgery, Cukurova University Medical Faculty, 01330 Adana, Turkey.

Case Reports in Emergency Medicine
|March 21, 2015
PubMed

Insights

A rare case of a torted Meckel's diverticulum, a common congenital anomaly, caused severe abdominal pain. Surgical resection successfully treated this life-threatening complication, highlighting the importance of considering Meckel's diverticulum in abdominal pain diagnoses.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Congenital Anomalies

Background:

  • Meckel's diverticulum is the most frequent congenital malformation of the small intestine.
  • While often asymptomatic, it can lead to severe, life-threatening complications.
  • Differential diagnosis for acute abdominal pain frequently includes appendicitis.

Purpose of the Study:

  • To report a case of a torted Meckel's diverticulum presenting as acute abdominal pain.
  • To emphasize the diagnostic challenges and successful surgical management of this condition.
  • To highlight the importance of considering Meckel's diverticulum in the differential diagnosis of acute right iliac fossa pain.

Main Methods:

  • Case presentation of a 37-year-old male with acute abdominal pain.
  • Preoperative diagnosis of acute appendicitis.
  • Intraoperative findings revealing a torted Meckel's diverticulum secondary to a mesodiverticular band.
  • Successful surgical resection of the affected Meckel's diverticulum.

Main Results:

  • The patient presented with acute, severe right iliac fossa pain.
  • Operative findings confirmed a torted Meckel's diverticulum, not appendicitis.
  • Successful surgical resection led to a positive patient outcome.

Conclusions:

  • Torsion of Meckel's diverticulum is a rare but serious complication that can mimic appendicitis.
  • Prompt surgical intervention is crucial for managing symptomatic Meckel's diverticulum.
  • Accurate preoperative diagnosis and intraoperative identification are key to successful treatment.

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