Asian Journal of Case Reports in Surgery

Giant Meckel’s Diverticulum Causing Small bowel Obstruction : Series of 5 Cases

Sopan N. Jatal *

M.S. F.I.C.S., FAIS, FIGES Jatal Hospital and Research Centre, Latur, India.

Sudhir Jatal

Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India Fellow in Colorectal Cancer, India.

Sachin Ingle

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

*Author to whom correspondence should be addressed.

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Abstract

Meckel’s Diverticulum size more than 5 cm are classified as Giant Meckel’s Diverticulum. They are relatively rare and may be more prone complications especially for obstruction. 90% of Meckel’s Diverticulum ranges in size from 1-10 cm. It is estimated that’s as 4-9% cases manifest complications and obstruction is the most common presenting symptom in adults. Large size and length of giant Meckel’s Diverticulum are predisposing to obstruction. More over diverticulitis, torsion and volvulus are more common complication in longer Meckel’s Diverticulum with narrow base are more prone to axial torsion of giant Meckel’s Diverticulum, whereas short and wide base giant Meckel’s Diverticulum may promote foreign body entrapment. A revision of English literature and PubMed database shows a total 28 reported cases of giant Meckel’s Diverticulum in adults.

Herein we report five rare cases of giant Meckel’s Diverticulum and its clinical presentation. Out of five giant Meckel’s Diverticulum, three cases presented with obstruction, one case presented with diverticulitis and another case of axial torsion of giant Meckel’s Diverticulum with small bowel obstruction in adults. All are successfully managed by explorative laparotomy, surgical resection and end to end anastomosis done.

Keywords: Giant Meckel’s diverticulum, small bowel obstruction, resection and anastomosis

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