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Meckel's Diverticulum Strangulation

Mohamed Ahmed1, Mohamed Elkahly2, Tito Gorski3

  • 1Surgery, University of California, Riverside, USA.

Cureus
|June 7, 2021
PubMed

Insights

Meckel

Area of Science:

  • Gastroenterology and Surgical Pathology
  • Congenital anomalies of the small intestine

Background:

  • Meckel's diverticulum, the most common congenital anomaly of the small intestine, arises from incomplete resolution of the omphalomesenteric duct.
  • While typically asymptomatic, it can present with complications like inflammation, hemorrhage, obstruction, or Littre's hernia, posing diagnostic challenges.

Observation:

  • A rare case of strangulated Meckel's diverticulum due to axial torsion was observed.
  • The patient presented with acute right lower quadrant abdominal pain, a key clinical manifestation.

Findings:

  • Axial torsion leading to strangulation is an uncommon but critical presentation of Meckel's diverticulum.
  • This specific mechanism highlights a unique cause of small intestinal compromise.

Implications:

  • Recognizing rare presentations like strangulated Meckel's diverticulum due to axial torsion is crucial for timely diagnosis and surgical intervention.
  • Understanding the diverse clinical spectrum of Meckel's diverticulum aids in managing complex gastrointestinal emergencies.
Keywords:
atypical appendicitisbowel obstructionlower abdominal painmeckel’s diverticulumstrangulationvolvulus

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