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Intussusception of Meckel's Diverticulum: A Case Report
Saskia Craine1, Shantam Agarwal2, Zaid Al-Hamid3
1Obstetrics and Gynaecology, Blackpool Teaching Hospitals, Blackpool, GBR.
Cureus
|January 29, 2025
Summary
Meckel's diverticulum (MD) can cause adult intussusception, a rare but serious condition. This case highlights the importance of considering MD in abdominal pain diagnoses, even with other conditions present.
Area of Science:
- Gastroenterology
- Surgical Case Report
Background:
- Meckel's diverticulum (MD) is a common congenital anomaly, usually asymptomatic.
- Complications like obstruction and intussusception can occur, particularly in adults presenting with abdominal pain.
Observation:
- A 39-year-old male with ulcerative colitis (UC) presented with acute right iliac fossa pain and vomiting.
- Imaging revealed ileo-ileal intussusception with an inverted MD as the lead point, a rare adult presentation.
- A palpable abdominal mass was noted on examination.
Findings:
- Surgical resection of the intussuscepted segment and anastomosis were performed.
- Histopathology confirmed ulceration and granulation within the MD.
- The patient experienced an uneventful recovery and was discharged.
Implications:
- Adult intussusception diagnosis can be challenging, especially with overlapping symptoms like UC flares.
- CT imaging is crucial for identifying atypical causes of bowel obstruction.
- Symptomatic MD requires surgical intervention to prevent complications like intussusception.
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