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Torsion and Gangrene of a Giant Meckel's Diverticulum in a Middle-Aged Adult: A Case Report

Riya B Vakil1, Anand Zingade1, Saurabh Dumbre1

  • 1General Surgery, Pimpri Chinchwad Municipal Corporation's Postgraduate Institute Yashwantrao Chavan Memorial Hospital, Pune, IND.

Cureus
|November 14, 2024
PubMed

Insights

A rare case of a giant Meckel's diverticulum caused acute abdomen in a 40-year-old male. This highlights the importance of considering Meckel's diverticulum complications in adult acute abdomen diagnoses.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine, typically presenting incidentally.
  • Symptomatic presentations are more common in children, making adult cases rare.

Observation:

  • A 40-year-old Indian male presented with acute abdomen.
  • Emergency laparotomy revealed torsion and gangrene of a giant Meckel's diverticulum.

Findings:

  • Giant Meckel's diverticulum can cause acute abdomen in adults.
  • Torsion and gangrene are severe complications of Meckel's diverticulum.

Implications:

  • Meckel's diverticulum should be considered in the differential diagnosis of acute abdomen in adults.
  • Routine bowel mapping during surgery is crucial for identifying such anomalies.
  • Early recognition and surgical intervention can prevent serious morbidity.
Keywords:
acute surgical abdomengiant meckel’s diverticulummeckel's diverticulum complicationstorsion of meckel's diverticulumtrue diverticulumvitello-intestinal duct

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