Strangulated Small Intestinal Obstruction due to Giant Meckle’s Diverticulum: A Case ReportCorrespondence Address :
Dr. N Thulasivasudevaiah,
JSS Medical College and Hospital, JSSAHE and R, Mysuru, Karnataka, India.
Meckle’s Diverticulum (MD) is the most common congenital Gastro-Intestinal Tract (GIT) anomaly. Intestinal obstruction is the common presenting symptom in the adult population, due to complications like intussusception, incarceration, adhesion, stricture and torsion around a fibrous band. MD can present with similar symptoms of acute appendicitis or can present with painless lower GIT bleeding. Axial torsion of gangrenous MD can cause acute small bowel obstruction. The correct diagnosis of complicated MD before surgery is often difficult. This article is about a young boy who had signs and symptoms of acute small bowel obstruction for 15 days duration. He had MD which was adherent to umbilical region causing gangrenous small bowel obstruction. Initially, the patient was treated conservatively for suspected appendicitis in a peripheral Hospital at his native place and later he was referred for further management. He underwent surgery successfully and discharged after a week. As the acute small bowel obstruction in paediatric patients can also have associated MD with initial presentation as acute appendicitis we should have a high index of suspicion while treating such cases. Early diagnosis and surgical intervention can avoid major bowel resection and overall morbidity.
Ectopic mucosa, Gastrointestinal bleeding, Intestinal strangulation, Meckle’s diverticulitis
N Thulasivasudevaiah, S Sudhir, Deepak Naik, DK Dilip, Aparna Mallya. STRANGULATED SMALL INTESTINAL OBSTRUCTION DUE TO GIANT MECKLE’S DIVERTICULUM: A CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2019 September [cited: 2019 Sep 16 ]; 13:PD07-PD08. Available from
Date of Submission: Mar 02, 2019
Date of Peer Review: Mar 28, 2019
Date of Acceptance: Aug 24, 2019
Date of Publishing: Sep 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
Patient permission was obtained for publication of this work.
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