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Meckel's diverticulum leading to ileo-ileal intussusception

Aeman Muneeb1, Nga N Nguyen1, Fatima Iqbal1

  • 1Department of Radiology, University of Texas Medical Branch, Galveston, TX, 77555, USA.

Radiology Case Reports
|March 21, 2022
PubMed

Insights

Intussusception caused by Meckel's diverticulum is rare in adults, often complicating diagnosis. This case highlights the diagnostic and surgical challenges of this condition presenting as small bowel obstruction.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • Intussusception is the telescoping of one segment of the bowel into another.
  • Adult intussusception is uncommon, with Meckel's diverticulum being a rare cause.

Observation:

  • A case of a long segment ileo-ileal intussusception in an adult female is presented.
  • The patient presented with symptoms consistent with small bowel obstruction.
  • The intussusception was found to be secondary to a Meckel's diverticulum.

Findings:

  • Preoperative diagnosis can be challenging due to the rarity of this condition in adults.
  • Clinical presentation, imaging findings, operative findings, and histologic examination are crucial for diagnosis.
  • Meckel's diverticulum acting as a lead point for intussusception was confirmed histologically.

Implications:

  • This case underscores the importance of considering Meckel's diverticulum in the differential diagnosis of adult intussusception.
  • Early and accurate diagnosis is essential for timely surgical intervention and improved patient outcomes.
  • Understanding the varied presentations of Meckel's diverticulum is vital for surgical planning and management.
Keywords:
IntussusceptionMeckel's diverticulumSmall bowel obstruction

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