Axial torsion of Meckel's diverticulum

Tiong, Vincent Tze Yang; Shimpi, Trishna; Shikhare, Sumer N.; Chong, Lester R. C.; Peh, Wilfred C.G.

doi:10.1111/ans.13889

Cited by 5 publications

(5 citation statements)

References 3 publications

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“…This fibrous band may suddenly result in abdominal internal hernia 17 or axial torsion of Meckel’s diverticulum. 18 Second, the patient had a giant Meckel’s diverticulum. The average length is 2.9 cm; however, Meckel’s diverticulum in our patient measured 12 cm in length, and giant diverticula lead to axial torsion.…”

Section: Discussionmentioning

confidence: 99%

Axially torsional Meckel's diverticulum accompanied by small bowel volvulus: a case report

et al. 2021

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Small bowel volvulus secondary to Meckel’s diverticulum is rare, and a delayed diagnosis results in disastrous outcomes. Computed tomography is conducive to early differential diagnosis. In particular, a blind-ending pouch structure on CT always indicates Meckel’s diverticulum. Diverticulectomy with or without adjacent partial small intestinal resection is the standard treatment for symptomatic Meckel’s diverticulum. However, the therapy for asymptomatic Meckel’s diverticulum is controversial. Here, we report the case of a 20-year-old man who suffered intestinal obstruction secondary to small bowel volvulus caused by an axially torsional, gangrenous, and giant Meckel’s diverticulum. Diverticulectomy with partial intestinal resection was performed.

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Section: Discussionmentioning

confidence: 99%

Axially torsional Meckel's diverticulum accompanied by small bowel volvulus: a case report

et al. 2021

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“…Causative mechanisms for an obstruction include an omphalomesenteric band, internal hernia or volvulus through the vitelline duct remnants, intussusception, incarceration within a hernia sac (Littre’s hernia) or a chronic Meckel’s diverticulitis [6] . Diverticulectomy, with or without limited bowel resection and primary anastomosis is essential in these patients [7] .…”

Section: Discussionmentioning

confidence: 99%

Giant Meckel’s diverticulum compressing root of mesentery – A rare cause of ileal gangrene – Case report and review of literature

Farooq

Rajesh

2017

International Journal of Surgery Case Reports

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IntroductionMeckel’s diverticulum (MD) commonly presents as gastrointestinal bleeding in the pediatric population and intestinal obstruction in adults. There is no consensus for surgical excision of an incidentally diagnosed MD. We present a hitherto unreported vascular cause of intestinal gangrene due to MD.Case presentationA 16 year old boy was referred as an acute abdomen for tertiary hospital management. Clinical examination and CT suggested small bowel obstruction and emergency laparotomy was performed. A giant MD compressing the root of mesentery, causing critical occlusion of the ileal vessels and extensive ileal gangrene was found. The gangrenous bowel was resected and a jejuno-ascending colon anastamosis was done. Postoperative recovery was uneventful.DiscussionThis case report highlights an unrecognized complication of a giant Meckel’s diverticulum. There are no clear guidelines on the management of an incidentally discovered MD though certain studies recommend resection of an incidental MD in males and individuals less than 50 years of age or when the MD is larger than 2 cm or contains histologically abnormal tissue. Other meta-analyses do not recommend routine resection. MD has been identified as a high risk region for ileal malignancy and its resection usually has minimal morbidity. A valid consent for opportunistic resection of a Meckel’s diverticulum in any laparotomy would be discerning.ConclusionAppropriate opportunistic resection of an incidental Meckel’s diverticulum may prevent extensive surgical morbidity later. This case highlights the need to revisit guidelines for management of incidentally identified MD.

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“…We read with great interest the article by Tiong et al 1 The authors present, with excellent supportive imaging, the clinical picture of torsion of a Meckel's diverticulum (MD).…”

Section: Re: Axial Torsion Of Meckel's Diverticulummentioning

confidence: 99%

“…Most of these injuries occur during industrial or agricultural work. [1][2][3] Kubacek presented the first case report of this type of injury in 1958. 4 We present a 54-year-old male who had avulsion injury to the penile skin when his cloth got caught in the harvesting machine.…”

Section: Isolated Penile Degloving Injury: An Unusual Emergencymentioning

confidence: 99%

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Re: Axial torsion of Meckel's diverticulumWe read with great interest the article by Tiong et al 1 The authors present, with excellent supportive imaging, the clinical picture of torsion of a Meckel's diverticulum (MD).Given the rarity of axial torsion of an MD, we wanted to clarify the existing literature on this occurrence. The axial torsion of an MD had been described as early as in 1952 in the New England Journal of Medicine.

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