Asian Journal of Case Reports in Surgery

Axial Torsion of a Giant Meckel’s Diverticulum Causing Small Bowel Obstruction: A Case Report and Review of the Literature

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, India and 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

A Meckel’s Diverticulum length more than 5 cm are classified as giant Meckel’s Diverticulum. Giant Meckel’s Diverticulum are relatively rare and may be more prone to complications, especially for small bowel obstruction. Axial torsion followed by gangrene of Meckel’s Diverticulum is the rarest of the complication that have been reported. Preoperative diagnosis of torsion of Meckel’s Diverticulum is very difficult. Risk of torsion increases with longer and larger Meckel’s Diverticulum with its narrow base.

We report a case of 25 years-old male, who presented an axial torsion and gangrene of a giant Meckel’s Diverticulum causing small bowel obstruction, in whom intraoperative findings of axial torsion and gangrene of Meckel’s Diverticulum, causing small bowel obstruction was found after emergency explorative laparotomy. Small bowel segment of 10 cm along with gangrenous Meckel’s Diverticulum resected and end to end anastomosis of ileum was done. Here we discuss one such rare case of axial torsion of giant Meckel’s Diverticulum associated with intestinal obstruction in an adult.

Keywords: Giant Meckel’s diverticulum, Axial torsion, gangrene, small bowel obstruction, emergency surgery

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