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Torsion of Ileum Due To Giant Meckel's Diverticulum - A Case Report

Nguyen Duy Hung1,2, Trinh Anh Tuan2, Than Van Sy2

  • 1Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.

Open Access Macedonian Journal of Medical Sciences
|March 28, 2020
PubMed
Abstract

Insights

A giant Meckel

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's diverticulum (MD) affects 2% of individuals, with symptomatic complications in 2-4%.
  • Small intestinal obstruction is a common complication of MD in adults.

Purpose of the Study:

  • To report a rare case of small bowel obstruction caused by ileal torsion around a giant Meckel's diverticulum.
  • To highlight the diagnostic challenges and preferred management for this unusual complication.

Main Methods:

  • Case report of a 48-year-old male presenting with high intestinal obstruction.
  • Diagnostic imaging failed to identify the cause.
  • Median laparotomy revealed the obstruction due to ileal torsion around a giant MD.

Main Results:

  • A giant Meckel's diverticulum was identified as the cause of small bowel obstruction.
  • The obstruction resulted from the ileum twisting around the diverticulum's axis.

Conclusions:

  • Giant Meckel's diverticulum causing ileal torsion is a rare cause of small bowel obstruction.
  • Preoperative diagnosis is difficult.
  • Emergency surgery is recommended for diagnosis and treatment.
Keywords:
Meckel’s diverticulumabdominal distensionabdominal paingastrointestinal tract

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