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[Intussusception due to Meckel´s diverticulum in adults: a case report]

Abdelali Guellil1, Rachid Jabi1, Laila Bouzayan1

  • 1Service de Chirurgie Viscérale et Oncologie Digestive A, CHU Mohammed VI, Oujda, Maroc.

The Pan African Medical Journal
|September 1, 2021
PubMed

Insights

Meckel's diverticulum, a common congenital anomaly, can cause serious complications like ileoileal intussusception and bowel obstruction. Early diagnosis via abdominal scanner and surgical resection are crucial for effective management.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Medical Imaging

Background:

  • Meckel's diverticulum is the most frequent congenital anomaly of the gastrointestinal tract, arising from incomplete closure of the omphalomesenteric duct.
  • While often asymptomatic, it can present with complications such as intussusception, leading to significant morbidity.

Observation:

  • This case study details the diagnostic journey and management of an 18-year-old female experiencing ileoileal intussusception secondary to Meckel's diverticulum.
  • The patient presented with symptoms indicative of bowel obstruction, necessitating urgent medical intervention.

Findings:

  • Abdominal CT scanning was instrumental in the early and accurate diagnosis of Meckel's diverticulum causing intussusception.
  • The diagnostic process highlighted the importance of advanced imaging in identifying this rare cause of intestinal obstruction.

Implications:

  • Prompt diagnosis and surgical intervention, specifically bowel resection without desinvagination, are critical to prevent complications like bowel necrosis or perforation.
  • This case underscores the need for heightened clinical suspicion and timely imaging for Meckel's diverticulum, even in the absence of typical presentations.
Keywords:
Meckel´s diverticuluma case reportadultintussusceptionocclusionsurgery

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