Asian Journal of Case Reports in Surgery

Unexpected Twists: The Rare Occurrence of Volvulus in Meckel’s Diverticulum

Maria João Vale *

Surgery Department, Hospital Sousa Martins, Unidade Local de Saúde da Guarda, Portugal.

Pedro Caldes

Surgery Department, Hospital Sousa Martins, Unidade Local de Saúde da Guarda, Portugal.

Sónia Bispo

Surgery Department, Hospital Sousa Martins, Unidade Local de Saúde da Guarda, Portugal.

Augusto Lourenço

Surgery Department, Hospital Sousa Martins, Unidade Local de Saúde da Guarda, Portugal.

*Author to whom correspondence should be addressed.

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Abstract

Aims: To present an unusual case and our therapeutic approach to a clinical case of volvulus caused by a Meckel’s Diverticulum.

Presentation of Case: A 32-year-old male patient came to the emergency department with abdominal pain with constipation and abdominal distension for the last 3 days. An abdominopelvic computed tomography scan was suggestive of a perforated hollow viscus. An exploratory laparotomy was proposed. Intraoperatively, a small bowel volvulus secondary to Meckel's diverticulum was found, without pneumoperitoneum. The viability of the loops was confirmed and diverticulectomy was performed.

Conclusion: The hypothesis of Meckel's Diverticulum should always be considered in cases of small bowel obstruction.

Keywords: Volvulus, Meckel’s diverticulum, small bowel obstruction

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