Meckel's diverticulum: axial volvulus mimicking emphysematous cholecystitis

Area of Science:

• Gastroenterology
• Surgical Pathology

Background:

• Acute cholecystitis is a common surgical emergency.
• Emphysematous cholecystitis is a rare variant characterized by gas in the gallbladder wall or lumen.
• Meckel's diverticula are congenital anomalies that can lead to various complications.

Observation:

• A 48-year-old male presented with symptoms consistent with acute cholecystitis.
• Abdominal roentgenograms indicated possible emphysematous cholecystitis.
• Surgical exploration identified an axial volvulus of a Meckel's diverticulum.

Findings:

• The patient's presentation mimicked emphysematous cholecystitis.
• Axial volvulus of a Meckel's diverticulum was the underlying cause.
• This represents an unusual complication of Meckel's diverticula.

Implications:

• Highlights the importance of considering rare diagnoses in the differential of gallbladder pathology.
• Emphasizes the need for thorough surgical evaluation when imaging findings are atypical.
• Contributes to understanding the diverse clinical manifestations of Meckel's diverticula.