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Case Reports
. 2020 Sep 25:2020:8872668.
doi: 10.1155/2020/8872668. eCollection 2020.

Meckel Diverticulum Causing Intestinal Volvulus

Liviu Musteata  1 , Raouf Fayisall Geraldo  1   2 , Hugues Ndasu Matendo  1 , Aurélie Reitz  1 , Valériu Krasovski  1 , Valentin Nitu  1 , Thierry Gastaud  1 , Fabrice Cattan  1
Affiliations
Case Reports

Meckel Diverticulum Causing Intestinal Volvulus

Liviu Musteata et al. Case Rep Surg. .

Abstract

Intestinal volvulus is rare and responsible for upper bowel obstruction. They occur more frequently in a patient with abdominal surgery history. We report a case of small intestine volvulus on Meckel diverticulum, which occurred in a 21-year-old patient, with no history of laparotomy. The diagnosis confirmation was intraoperative, and the management consisted in a segmental resection of the small intestine with immediate anastomosis. The postoperative follow-up was good. This case underlines the scarcity and the severity of this presentation which therefore requires appropriate care in order to improve the prognosis.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Abdominal CT scan injected in the late phase, showing a fluid dilation of the small intestine and a short junction syndrome in the periumbilical area with no image of “small bowel feces” upstream, reflecting a volvulus, with thick and poorly enhanced digestive walls: (a) axial section; (b) frontal reconstruction.
Figure 2
Figure 2
Intraoperative image showing Meckel's diverticulum attached to the mesentery (a, blue arrow), necrotic at its tip (orange arrow), and necrotic intestinal loops (b, green arrow).
See this image and copyright information in PMC

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