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. 2019 Dec 20;7(24):4432-4434.
doi: 10.3889/oamjms.2019.876. eCollection 2019 Dec 30.

Torsion of Ileum Due To Giant Meckel's Diverticulum - A Case Report

Nguyen Duy Hung  1   2 , Trinh Anh Tuan  2 , Than Van Sy  2 , Vu Duc Thinh  3 , Vo Truong Nhu Ngoc  4 , Vu Thi Nga  5 , Van Thai Than  6
Affiliations

Torsion of Ileum Due To Giant Meckel's Diverticulum - A Case Report

Nguyen Duy Hung et al. Open Access Maced J Med Sci. .

Abstract

Background: Meckel's diverticulum (MD) is detected in approximately 2% of all individuals and only 2-4% MD patients may develop symptoms. Small intestinal obstruction is a frequent complication in adults.

Case report: A 48-year-old male was admitted to emergency department for high intestinal obstruction symptoms. The imaging examinations were failed to detect the underlying causes. A median laparotomy revealed small bowel obstruction (SBO) due to a segment of ileum twisted around a giant MD axis.

Conclusion: Thus, a giant MD generating torsion of ileum is an unusual complication. Preoperative diagnosis is challenging. Emergency surgery is preferred to make an accurate diagnosis and for treatment.

Keywords: Meckel’s diverticulum; abdominal distension; abdominal pain; gastrointestinal tract.

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Figures

Figure 1
Figure 1
Abdominal X-ray findings. Air fluid levels in small bowel (arrow)
Figure 2
Figure 2
CT findings. A. Axial CT scan reveals the most distended loop (white arrow) proximal to transition point (small arrow). B. Axial CT reveals the thickened small bowel loops (arrow). C. Sagittal CT scan shows the whirlpool sign indicated mesenteric volvulus (arrow)
Figure 3
Figure 3
Intra-operative findings. Intra-operative photograph shows a giant MD (white arrow) and the location where the ileal loops twisted around MD axis (small arrow)
See this image and copyright information in PMC

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