Acute abdomen following axial torsion of a Giant Meckel's diverticulum in a young male: A case report

Munasinghe, B. M.; Dhanuksha, D C; Samarathunga, R.D.; Senevirathne, P.S.M.B.; Karunatileke, C.T.

doi:10.1016/j.ijscr.2022.107631

Cited by 4 publications

(10 citation statements)

References 30 publications

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“…The incidence of Meckel's diverticulum is generally higher in males, and based on the studies, it has an incidence rate between 0.3 and 2.9 % [12] . Meckel's diverticulum usually occurs 90 cm from the ileocecal valve in 90 % of the cases.…”

Section: Discussionmentioning

confidence: 99%

“…In cases of small bowel obstruction by diverticulum, diverticulectomy, segmental or wedge resection have been introduced as suitable surgical methods. The wedge resection method preferred due to avoiding the dissection of the mesentery, and intestinal anastomosis, as well as shorter surgical time and lower complications, especially in cases where the base of the diverticulum is intact [12] .…”

Section: Discussionmentioning

confidence: 99%

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Meckel's diverticulum axial torsion: A rare complication case report of a 5-year-old girl

Kafshgari¹,

Majd²,

Ledari³

2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Meckel's diverticulum axial torsion: A rare complication case report of a 5-year-old girl

Kafshgari¹,

Majd²,

Ledari³

2023

International Journal of Surgery Case Reports

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“…MD is preponderant among males; our patient was also a young male in his third decade. A case report presented by Srilankan authors reported a 20-year-old male laborer with spontaneous axial torsion of GMD [ 1 ]. On the contrary, our patient had a history of blunt trauma directed toward the vasculature of GMD.…”

Section: Discussionmentioning

confidence: 99%

“…The most common congenital anomaly of the human gastrointestinal tract is the presence of Meckel's diverticulum (MD) [ 1 ]. MD is a true intestinal diverticulum created by the incomplete obliteration of the vitellointestinal duct [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, the most common symptoms include fever, vomiting, and abdominal pain [ 2 ]. The clinical features associated with its symptomatic form can be confused with acute appendicitis, gastroenteritis, and diverticular colon disease [ 1 ]. Although computed tomography (CT) is a superior imaging method in adult patients with an emergency presentation, a 99m-technetium-labeled pertechnetate scan is used to localize ectopic gastric mucosa in MD [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Giant Meckel’s Diverticulum as a Cause of Post-traumatic Hemoperitoneum in a 25-Year-Old Male: An Extremely Rare Phenomenon

Nasir¹,

Ali²,

Qadri³

et al. 2023

Cureus

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Following the "rule of 2", Meckel's Diverticulum (MD) is 2 inches or 5cm long. However, we report the case of an extremely large MD. To the best of our elucidated literature search, it is the first case of Giant Meckel's Diverticulum (GMD) from Pakistan presenting with post-traumatic hemoperitoneum.A 25-year-old Pakistani male presented to a surgical emergency with a two-hour history of generalized abdominal pain after blunt abdominal trauma. An exploratory laparotomy was carried out due to the deranged hemodynamic parameters and free fluid in the abdominopelvic cavity, revealing a 35 centimeters long MD with a bleeding vessel on its tip. Diverticulectomy with the repair of a small intestinal defect was performed after the evacuation of 2.5 liters of clotted blood. Histologic evaluation revealed ectopic gastric tissue. He had an uneventful post-operative stay and was discharged home.The current English scientific literature has adequate case reports documenting the complications of perforation, intestinal obstruction, and diverticulitis of Meckel's Diverticulum (MD) of normal length. However, this case report highlights the significance of an MD with an abnormal length which put the patient's life at risk of death in the setting of normal intra-operative anatomy of all other abdominal organs.

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Torsion of Meckel’s diverticulum—a case report and literature review

Ho,

Srinivasan

2024

Journal of Surgical Case Reports

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Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. Torsion is a rare complication of MD with only 48 cases described in the English literature to date. We describe a case of a 22-year-old male who presented to the emergency department with lower abdominal pain. Pre-operative computed tomography scan suggested a torted MD. This was confirmed on diagnostic laparoscopy and managed with segmental resection of the MD and a concurrent appendicectomy. Histopathology confirmed torsion of MD and a normal appendix. The patient recovered well without any complications. Torsion occurs invariably with giant MD defined as a length of >5 cm. Surgical options for MD include diverticulectomy, wedge resection and segmental resection via laparoscopic or open approach. The rate of pre-operative diagnosis remains low but with advances in imaging and awareness of this condition, this is likely to increase with time.

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Acute abdomen following axial torsion of a Giant Meckel's diverticulum in a young male: A case report

Cited by 4 publications

References 30 publications

Meckel's diverticulum axial torsion: A rare complication case report of a 5-year-old girl

Meckel's diverticulum axial torsion: A rare complication case report of a 5-year-old girl

Giant Meckel’s Diverticulum as a Cause of Post-traumatic Hemoperitoneum in a 25-Year-Old Male: An Extremely Rare Phenomenon

Torsion of Meckel’s diverticulum—a case report and literature review

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