DOI: http://dx.doi.org/10.18203/2349-2902.isj20211312

Meckel’s diverticulum: a rare cause of small bowel obstruction in an adult

Nusrat Jabeen, Hussain Adnan Abdulla, Asma Alqaseer, Mohamed Ayed Abushwemeh, Amal Alrayes

Abstract


Meckel’s diverticulum is the most common congenital abnormality of the gastrointestinal tract. Complications involving Meckel’s diverticulum include bleeding, bowel obstruction and inflammation. We present a rare case of small bowel obstruction caused by Meckel’s diverticulum. A 50-year-old male presented to the emergency department with abdominal pain and vomiting. Computed tomography (CT) abdomen showed dilated small bowel loops with transition zone at the mid ileum, consistent with small bowel obstruction. The patient was taken to the operating theatre for exploratory laparotomy and was found to have a Meckel’s diverticulum causing mechanical small bowel obstruction, which was resected with primary anastomosis. The patient recovered with no postoperative complications and was discharged home. Meckel’s diverticulum is difficult to diagnose preoperatively since most patients are asymptomatic and requires a high index of suspicion. In patients presenting with an acute abdomen, it may be overlooked because of nonspecific symptoms. In the case of small bowel obstruction, Meckel’s diverticulum should be kept in mind as part of the differential diagnosis.


Keywords


Meckel’s diverticulum, Small bowel obstruction, Intestinal obstruction, Acute abdomen

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References


Nath DS, Morris TA. Small bowel obstruction in an adolescent: a case of Meckel’s diverticulum. Minn Med. 2004;87:46-8.

Sagar J, Kumar V, Shah DK. Meckel’s diverticulum: a systematic review. J R Soc Med. 2006;99:501.

Vork JC, Kristensen IB. Meckel's diverticulum and intestinal obstruction - report of a fatal case. Forensic Sci Int. 2003;138:114-5.

Limas C, Seretis K, Soultanidis C, Anagnostoulis S. Axial torsion and gangrene of a giant Meckel's diverticulum. J Gastrointestin Liver Dis. 2006;15:67-8.

Seth A, Seth J. Axial torsion as a rare and unusual complication of a Meckel's diverticulum: a case report and review of the literature. J Med Case Rep. 2011;5:118.

Kuru S, Bulut H, Kismet K. Mesodiverticular band of Meckel’s diverticulum as a rare cause of small bowel obstruction: case report and review of the literature. Visceral Med. 2013;29:401-5.

Prasad TR, Chui CH, Jacobsen AS. Laparoscopic resection of an axially torted Meckel’s diverticulum in a 13-year-old. J Laparoendosc Adv Surg Tech A. 2006;16:425-7.

Aggarwal L, Jain S, Dev R. Meckel’s diverticulum with benign stricture: a very rare cause of intestinal obstruction. Indian J Surg. 2010;72:331-3320.

Elsayes KM, Menias CO, Harvin HJ. Imaging manifestations of Meckel’s diverticulum. Am J Roentgenol. 2007;189:81.

Won Y, Lee HW, Ku YM, Lee SL, Seo KJ, Lee JI, Chung JH. Multidetector-row computed tomography (MDCT) features of small bowel obstruction (SBO) caused by Meckel’s diverticulum. Diagnosis Interv Imaging. 2016;97:227.