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Inverted Meckel's Diverticulum: Rare Etiology of an Intestinal Obstruction
Vishnu R Mani1, Aleksandr Kalabin2, Anant Dinesh2
1Department of Surgery, New York University School of Medicine, and the Laura and Isaac Perlmutter Cancer Center, Columbia University School of Physicians and Surgeons at Harlem Hospital Center.
Abstract:
Acute gastrointestinal obstruction can have a varied spectrum of clinical presentation and etiologies. It has been studied in detail and the management criteria have been well defined for the most part in our era. The etiologies are usually well defined. However, acute small bowel obstruction (SBO) due to intussusception caused by an inverted Meckel's diverticulum is a rare phenomenon that is often times missed on initial presentation and/or consequently until resected and visualized on pathological examination. We present a case of a 34-year-old presenting with symptoms and signs of acute intestinal obstruction and radiographic exam showing ileo-ileal intussusception. The patient failed to improve initially following conservative management and was taken to the operating room for small bowel resection which then revealed an inverted Meckel's diverticulum.