Inverted Meckel’s diverticulum: a case report
Abstract Background Inverted Meckel’s diverticulum refers to the condition in which the diverticulum inverts on itself. The reasons for such an inversion are poorly understood due to the rarity of the condition. We present a case of inverted Meckel’s diverticulum, an uncommon finding, as a cause of...
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| Format: | Article |
| Language: | English |
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BMC
2021-05-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-021-02736-2 |
| _version_ | 1818774133980266496 |
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| author | Lovenish Bains Rahul Bhatia Rohit Kaushik Pawan Lal Gayatri Rajpaul Veerpal |
| author_facet | Lovenish Bains Rahul Bhatia Rohit Kaushik Pawan Lal Gayatri Rajpaul Veerpal |
| author_sort | Lovenish Bains |
| collection | DOAJ |
| description | Abstract Background Inverted Meckel’s diverticulum refers to the condition in which the diverticulum inverts on itself. The reasons for such an inversion are poorly understood due to the rarity of the condition. We present a case of inverted Meckel’s diverticulum, an uncommon finding, as a cause of recurrent intussusception. Case presentation A 30-year old Indian woman presented with complaints of pain in the central abdomen for 3 days, accompanied with vomiting and loose stools. Computed tomography images were suggestive of intussusception with intestinal obstruction. Intra-operative findings were suggestive of an intussuscepted segment of ileum measuring 10 cm in length, proximal to ileocecal junction. Ileo–ileal anastomosis was performed after appropriate resection. Upon opening the specimen, we were surprised to find an inverted Meckel diverticulum with lipoma at one end causing the intussusception. The patient made an uneventful recovery and was discharged after 5 days. Conclusion The reasons for inversion include abnormal peristalsis around the diverticulum and non-fixity of the diverticulum itself. The inverted diverticulum itself can cause luminal compromise and acts as a lead point for intussusception leading to obstruction. Computed tomography remains the diagnostic tool of choice for identifying intestinal obstruction and intussusception. Although pathological signs, such as lipoma, can be identified, the identification of any inversion will require a proficient radiologist. Inverted Meckel’s diverticulum is a rare condition which is difficult to diagnose preoperatively. Treatment is surgical, whether diagnosed pre-operatively or intra-operatively, and includes segmental resection and anastomosis. This uncommon condition should be noted as one-off differential diagnosis for intussusception and intestinal obstruction. |
| first_indexed | 2024-12-18T10:36:18Z |
| format | Article |
| id | doaj.art-ffc44329dec94397a62ac98ec6d6e084 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-18T10:36:18Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-ffc44329dec94397a62ac98ec6d6e0842022-12-21T21:10:45ZengBMCJournal of Medical Case Reports1752-19472021-05-011511410.1186/s13256-021-02736-2Inverted Meckel’s diverticulum: a case reportLovenish Bains0Rahul Bhatia1Rohit Kaushik2Pawan Lal3Gayatri Rajpaul4Veerpal5Department of General Surgery, Maulana Azad Medical CollegeDepartment of General Surgery, Maulana Azad Medical CollegeDepartment of General Surgery, Maulana Azad Medical CollegeDepartment of General Surgery, Maulana Azad Medical CollegeDepartment of General Surgery, Maulana Azad Medical CollegeDepartment of General Surgery, Maulana Azad Medical CollegeAbstract Background Inverted Meckel’s diverticulum refers to the condition in which the diverticulum inverts on itself. The reasons for such an inversion are poorly understood due to the rarity of the condition. We present a case of inverted Meckel’s diverticulum, an uncommon finding, as a cause of recurrent intussusception. Case presentation A 30-year old Indian woman presented with complaints of pain in the central abdomen for 3 days, accompanied with vomiting and loose stools. Computed tomography images were suggestive of intussusception with intestinal obstruction. Intra-operative findings were suggestive of an intussuscepted segment of ileum measuring 10 cm in length, proximal to ileocecal junction. Ileo–ileal anastomosis was performed after appropriate resection. Upon opening the specimen, we were surprised to find an inverted Meckel diverticulum with lipoma at one end causing the intussusception. The patient made an uneventful recovery and was discharged after 5 days. Conclusion The reasons for inversion include abnormal peristalsis around the diverticulum and non-fixity of the diverticulum itself. The inverted diverticulum itself can cause luminal compromise and acts as a lead point for intussusception leading to obstruction. Computed tomography remains the diagnostic tool of choice for identifying intestinal obstruction and intussusception. Although pathological signs, such as lipoma, can be identified, the identification of any inversion will require a proficient radiologist. Inverted Meckel’s diverticulum is a rare condition which is difficult to diagnose preoperatively. Treatment is surgical, whether diagnosed pre-operatively or intra-operatively, and includes segmental resection and anastomosis. This uncommon condition should be noted as one-off differential diagnosis for intussusception and intestinal obstruction.https://doi.org/10.1186/s13256-021-02736-2Inverted Meckel’s diverticulumIntussusceptionLipomaObstruction |
| spellingShingle | Lovenish Bains Rahul Bhatia Rohit Kaushik Pawan Lal Gayatri Rajpaul Veerpal Inverted Meckel’s diverticulum: a case report Journal of Medical Case Reports Inverted Meckel’s diverticulum Intussusception Lipoma Obstruction |
| title | Inverted Meckel’s diverticulum: a case report |
| title_full | Inverted Meckel’s diverticulum: a case report |
| title_fullStr | Inverted Meckel’s diverticulum: a case report |
| title_full_unstemmed | Inverted Meckel’s diverticulum: a case report |
| title_short | Inverted Meckel’s diverticulum: a case report |
| title_sort | inverted meckel s diverticulum a case report |
| topic | Inverted Meckel’s diverticulum Intussusception Lipoma Obstruction |
| url | https://doi.org/10.1186/s13256-021-02736-2 |
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