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Case Reports
. 2023 May 20;2023(5):rjad288.
doi: 10.1093/jscr/rjad288. eCollection 2023 May.

A unique case of inverted Meckel's diverticulum presented as an adult intussusception: a case report

Elias E Lahham  1 , Bashaer I Iwaiwi  1 , Silvia Halteh  1 , Hala Khaled  1 , Mohammad AlQadi  2
Affiliations
Case Reports

A unique case of inverted Meckel's diverticulum presented as an adult intussusception: a case report

Elias E Lahham et al. J Surg Case Rep. .

Abstract

Although Meckel's diverticulum (MD) is a relatively common asymptomatic gastrointestinal anomaly, an inverted MD is a rare entity that is challenging to diagnose prior to surgery and presents usually in the pediatric population with bleeding, anemia and abdominal pain. The most frequent adult presentation in non-inverted MD is intestinal obstruction, whereas bleeding and anemia are the most typical presenting complaints in inverted MD. Here, we report our experience with an adult female patient, who presented with 5 days duration of abdominal pain, nausea and vomiting. Imaging revealed signs of small bowel obstruction with bowel wall thickening in the terminal ileum and a double target appearance. This case describes a rare cause of adult intestinal intussusception because of inverted MD, which was successfully managed with surgery. The final pathology report confirms the diagnosis.

Keywords: Meckel diverticulum; intussusception; small bowel obstruction.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Plain abdominal X-ray demonstrated air-fluid levels of the small bowel.
Figure 2
Figure 2
Intussuscepted portion of ileus attributed to inverted MD.
Figure 3
Figure 3
Intraoperative image of a free diverticulum located ~75 cm from the ileocecal valve.
Figure 4
Figure 4
Chest, abdomen and pelvis CT scan with Oral & IV contrast postop Day 5 showed no contrast leak, no fistula and no obstruction at the site of surgery.
See this image and copyright information in PMC

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