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Inverted Meckel's diverticulum: a case report.

Lovenish Bains¹, Rahul Bhatia², Rohit Kaushik²

¹Department of General Surgery, Maulana Azad Medical College, New Delhi, India. lovenishbains@gmail.com.

Journal of Medical Case Reports

|May 22, 2021

Summary

Inverted Meckel's diverticulum, a rare cause of intussusception, was identified in a patient presenting with intestinal obstruction. Surgical resection and anastomosis were successful, highlighting the need for this diagnosis in similar cases.

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Area of Science:

Gastroenterology
Surgical Pathology
Diagnostic Imaging

Background:

Inverted Meckel's diverticulum is a rare condition where the diverticulum folds inward.
The etiology of this inversion remains poorly understood due to its infrequent occurrence.
This case highlights inverted Meckel's diverticulum as a cause of recurrent intussusception.

Observation:

A 30-year-old woman presented with abdominal pain, vomiting, and diarrhea.
Computed tomography (CT) indicated intussusception and intestinal obstruction.
Intraoperative findings revealed a 10 cm intussuscepted ileal segment.

Findings:

The intussusception was caused by an inverted Meckel's diverticulum with an associated lipoma.
Surgical management involved segmental resection and ileo-ileal anastomosis.

Keywords:

Intussusception Inverted Meckel’s diverticulum Lipoma Obstruction

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The patient recovered well and was discharged within 5 days.

Implications:

Inverted Meckel's diverticulum can act as a lead point for intussusception, causing obstruction.
CT is crucial for diagnosing intussusception and obstruction, though identifying inversion requires radiologist expertise.
This rare condition should be considered in the differential diagnosis of intussusception and intestinal obstruction.