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Caecal obstruction secondary to a Meckel's diverticulum
Peter Tilleard1, Nathan Brunott1
1Department of General Surgery, Cairns Hospital, 165 The Esplanade, Cairns North, Queensland, 4870, Australia.
Journal of Surgical Case Reports
|April 14, 2025
Summary
Meckel's diverticulum, a common congenital anomaly, can cause rare complications like bowel obstruction. This case highlights the challenges in managing incidentally discovered, asymptomatic Meckel's diverticula.
Area of Science:
- Gastroenterology
- Surgical Case Report
Background:
- Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in approximately 2% of the population.
- While often asymptomatic, Meckel's diverticula can lead to serious complications such as obstruction, hemorrhage, tumors, infection, and perforation.
Observation:
- A 71-year-old female presented with abdominal pain and bloating.
- Diagnostic laparoscopy revealed a partial cecal obstruction caused by a fibrous band originating from a Meckel's diverticulum and extending to the mesentery.
Findings:
- The obstruction was attributed to a fibrous band, possibly a remnant from a previous umbilical surgery, tethering the Meckel's diverticulum to the cecal pole and mesentery.
- Surgical intervention successfully relieved the cecal obstruction and resected the Meckel's diverticulum.
Implications:
- This case illustrates the diverse and potentially severe complications associated with Meckel's diverticulum, even in older adults.
- It emphasizes the diagnostic and management challenges posed by incidentally discovered, asymptomatic Meckel's diverticula, necessitating careful consideration of surgical intervention versus conservative management.
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