Gangrene of Meckel's diverticulum secondary to axial torsion: a rare complication

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S Malhotra1, D A Roth, T H Gouge

  • 1Department of Surgery, New York University School of Medicine, NY 10016, USA.

The American Journal of Gastroenterology
|August 26, 1998
PubMed

Insights

A rare case of gangrenous Meckel's diverticulum caused by axial torsion is presented. This serious complication, involving bowel tissue death, is exceptionally uncommon in both adults and children.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • Complications include hemorrhage, obstruction, and inflammation.

Observation:

  • A rare case of a gangrenous Meckel's diverticulum secondary to axial torsion was observed.
  • This specific complication is exceedingly rare, with only five reported instances in pediatric and adult patients over 28 years.

Findings:

  • Axial torsion of Meckel's diverticulum can lead to gangrene and necessitate surgical intervention.
  • The rarity of this presentation highlights diagnostic and management challenges.

Implications:

  • Increased awareness of rare Meckel's diverticulum complications is crucial for timely diagnosis.
  • Understanding the pathophysiology of axial torsion can inform surgical strategies for similar rare cases.

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