Asian Journal of Case Reports in Surgery

Inverted Meckel’s Diverticulum and Literature Review: About 3 Case Reports

Sopan Nivarutti Jatal *

Department of Surgery, MIMSR Medical College, Latur, India and Jatal Hospital and Research Centre, Latur, India.

Sudhir Jatal

Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.

Sachin Ingle

Department of Pathology, MIMSR Medical college, Latur, India.

*Author to whom correspondence should be addressed.

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Abstract

Inverted Meckel’s Diverticulum causing intussusception is an extremely rare condition, in which the diverticulum inverts on itself. Very few cases of inverted Meckel’s diverticulum have been reported in the literature till date. Inverted Meckel’s diverticulum is a novel entity with real diagnostic challenge to the Surgeon/ Gastrointestinal Surgeon, to diagnose pre-operatively. Acute intestinal obstruction caused by inverted Meckel’s Diverticulum is a rare phenomenon. The most common presentations in inverted Meckel’s Diverticulum are bleeding 50%, intestinal obstruction and intussusception (20-25%) of presenting cases.

Here are three interesting cases of inverted Meckel’s Diverticulum, which includes two adult cases and one pediatric case of 11 years girl. All cases are diagnosed on plain X-ray abdomen, Ultrasonography and CT abdomen confirmed the diagnosis. In adult we did explorative laparotomy with segmental resection and end to end anastomosis. In a 11 years girl, we did successful laparoscopic reduction of ileo-ileal intussusception with the help of atraumatic small bowel forceps and followed by endoscopic Meckel’s Diverticulectomy by applied endo-stapler, keeping adequate luminal space of small bowel.

Keywords: Inverted Meckel’s Diverticulum, intussusceptions, small bowel obstruction, hemorrhage or bleeding, laparoscopic surgery, abdominal pain, endo-stapler

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