Meckel's Diverticulum Causing Small Bowel Intussusception in Third Trimester Pregnancy, a Case Report.

Area of Science:

• Surgical Case Report
• Obstetrics and Gynecology
• Gastroenterology

Background:

• Intestinal obstruction in pregnancy presents a significant surgical emergency.
• It is associated with high rates of maternal and fetal morbidity and mortality.
• Diagnosing intestinal intussusception during pregnancy is challenging due to overlapping symptoms with normal pregnancy.

Purpose of the Study:

• To report a case of ileal intussusception secondary to Meckel's diverticulum in a pregnant patient.
• To highlight the diagnostic challenges and management of this condition during pregnancy.
• To emphasize the importance of timely surgical intervention.

Main Methods:

• Case presentation of a third-trimester pregnant patient with right-sided abdominal pain.
• Diagnosis confirmed by computerized tomography (CT) scan showing ileal intussusception and small bowel obstruction (SBO).
• Surgical management included reduction of intussusception and diverticulectomy.

Main Results:

• Successful surgical reduction of the intussuscepted bowel and removal of the Meckel's diverticulum.
• Resolution of small bowel obstruction.
• Positive outcome for both mother and fetus following surgery.

Conclusions:

• Intestinal intussusception is a rare but serious complication during pregnancy.
• CT imaging is valuable for diagnosis, despite potential concerns for fetal radiation.
• Prompt surgical management is essential for successful treatment and prevention of complications.