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Double intussusception secondary to Meckel's diverticulum in a seventeen-year-old female: a case report

Feras Sendy1,2, Thibaut D'escrivan3, Anthony Joubert4

  • 1Department of Obstetrics and Gynecology, University Hospital Center Estaing, Clermont Ferrand, France.

The Pan African Medical Journal
|January 15, 2021
PubMed

Insights

Meckel's diverticulum (MD), a common congenital anomaly, rarely causes adult symptoms. This case highlights MD diagnosis and surgical management in a young female with intussusception.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Diagnostic Imaging

Background:

  • Meckel's diverticulum (MD) is the most common congenital malformation of the gastrointestinal tract, typically asymptomatic in adults.
  • Diagnosis relies on clinical history, physical examination, and imaging, but presentation in adults is rare.

Observation:

  • A 17-year-old female presented with vomiting and acute peri-umbilical pain, indicative of potential gastrointestinal distress.
  • Ultrasound revealed ileal intussusception, prompting further investigation.
  • Exploratory laparoscopy identified two intussusceptions, one suspicious for MD.

Findings:

  • Laparoscopic reduction was successful for the first intussusception.
  • The second intussusception, suspected to be MD, necessitated a mini-laparotomy for resection.
  • Ultrasonography proved valuable in diagnosing complications like perforation or occlusion without radiation exposure.

Implications:

  • This case underscores the importance of considering MD in adult patients with acute abdominal symptoms, even if rare.
  • Minimally invasive techniques like laparoscopy and laparoscopic-assisted mini-laparotomy are effective for MD resection.
  • Accurate diagnosis and timely surgical intervention are crucial for managing symptomatic Meckel's diverticulum.

Keywords:
IntussusceptionMeckel’s diverticulum and laparoscopy

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