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Meckel's Diverticulum Causing Small-Bowel Volvulus in an Elderly Patient: A Case Report
Nona Shalisha Sallay1, Sanura Malinda Pallegoda Vithana2, H L D S Ariyaratne1
1General Surgery, Colombo South Teaching Hospital, Nugegoda, LKA.
Abstract:
Meckel's diverticulum (MD) represents a remnant of the embryonic vitelline duct and is recognized as a congenital anomaly of the small intestine. While it is more frequently identified in children, the majority of cases remain clinically silent, with symptomatic presentation in adults being relatively rare. When present, symptoms typically reflect complications, including gastrointestinal hemorrhage, diverticulitis, or intestinal obstruction. The probability of developing complications decreases with advancing age, making clinically significant presentations in elderly individuals uncommon and diagnostically challenging. We present the case of a 72-year-old male with features of small bowel obstruction, in whom intraoperative findings demonstrated a small-bowel volvulus occurring around an MD that functioned as the axis of rotation.
Insights
Meckel's diverticulum (MD) is a congenital anomaly. This case highlights a rare instance of small bowel obstruction in an elderly patient caused by MD-related volvulus, emphasizing diagnostic challenges in older adults.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Congenital Anomalies
Background:
- Meckel's diverticulum (MD) is a congenital anomaly of the small intestine, a remnant of the vitelline duct.
- While common in children, symptomatic presentations in adults are rare, often due to complications like hemorrhage, diverticulitis, or obstruction.
- Clinically significant MD complications are infrequent in the elderly, posing diagnostic difficulties.
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