Torsion of giant Meckel’s diverticulum causing acute small bowel obstruction
Keywords:Meckel’s diverticulum, Axial torsion, Intestinal obstruction
Meckel’s diverticulum occurs in 2% of the population and is the most common congenital anomaly of the small intestine. It is the only true diverticulum of the small intestine and occurs due to the persistence of a part of the vitello intestinal duct that does not undergo normal obliteration by the fifth to ninth week of gestation. Though the majority are clinically silent, there is a 4-6% lifetime risk of complications. Axial torsion is the rarest complication associated with Meckel’s diverticulum and its coexistence with intestinal obstruction is largely unheard of with reported cases being few and far between. Here we discuss one such case of axial torsion of a giant Meckel’s diverticulum associated with intestinal obstruction in an adult male.
Yeo CJ. Shackelford’s surgery of the alimentary tract, E-book (8th ed.). Elsevier. 2017.
Murruste M, Rajaste G, Kase K. Torsion of Meckel's diverticulum as a cause of small bowel obstruction: A case report. World J Gastrointest Surg. 2014;6(10):204-7.
Townsend JCM, Beauchamp RD, Evers BM, Mattox KL. Sabiston textbook of surgery (21st ed.). Elsevier - Health Sciences Division. 2021.
Cartanese C, Petitti T, Marinelli E, Pignatelli A, Martignetti D, Zuccarino M, Ferrozzi L. Intestinal obstruction caused by torsed gangrenous Meckel's diverticulum encircling terminal ileum. World J Gastrointest Surg. 2011;3(7):106-9.
Sharma RK, Jain VK, Kamboj S, Murari K. Gangrenous Meckel's diverticulum causing acute intestinal obstruction in an adult. ANZ J Surg. 2008;78(11):1046-7.
Akbulut S, Yagmur Y. Giant Meckel's diverticulum: An exceptional cause of intestinal obstruction. World J Gastrointest Surg. 2014;6(3):47-50.
Tisdall FF. An unusual Meckel's diverticulum as a cause of intestinal hemorrhage. Am J Dis Children. 1928;36(6):1218-23.
Kotha VK, Khandelwal A, Saboo SS, Shanbhogue AK, Virmani V, Marginean EC et al. Radiologist's perspective for the Meckel's diverticulum and its complications. Br J Radiol. 2014;87(1037): 20130743.