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Meckel's Diverticulum Fistulating into the Rectum: An Extremely Uncommon Presentation
Raghav Narang1, Shishir Kumar1, Aravindh Radhakrishnan1
1Department of Pediatric Surgery and Pediatric Urology, BLK-MAX Superspeciality Hospital, New Delhi, India.
Oman Medical Journal
|July 17, 2024
Summary
A rare complication of Meckel's diverticulum occurred in an 11-year-old girl, presenting as a rectal mass and intestinal obstruction. Surgical intervention successfully treated the Meckel's diverticulum invading the rectum.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Meckel's diverticulum is a congenital anomaly of the small intestine.
- Complications are typically related to bleeding, obstruction, or intussusception.
- Rectal involvement is exceptionally uncommon.
Observation:
- An 11-year-old girl presented with abdominal distension, pain, and vomiting.
- A rectal mass and prolapsing bowel loops were noted during examination.
- Radiology confirmed intestinal obstruction.
Findings:
- Surgical exploration revealed Meckel's diverticulum invading the rectum.
- Dense inter-bowel adhesions were also present.
- A fistula between Meckel's diverticulum and the rectum was identified.
Implications:
- This case underscores the rare possibility of Meckel's diverticulum causing rectal fistulas.
- Early diagnosis and surgical management are crucial for favorable outcomes.
- Highlights the importance of considering rare presentations of common congenital anomalies.
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