Torsion of Meckel's diverticulum—a case report and literature review.
- Resource Type
- Case Study
- Authors
- Ho, Kah A; Srinivasan, Rajkumar
- Source
- Journal of Surgical Case Reports. Jan2024, Vol. 2024 Issue 1, p1-4. 4p.
- Subject
- *MECKEL diverticulum
*LITERATURE reviews
*TORSION
*GASTROINTESTINAL system
*COMPUTED tomography
*LAPAROSCOPIC surgery
- Language
- ISSN
- 2042-8812
Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. Torsion is a rare complication of MD with only 48 cases described in the English literature to date. We describe a case of a 22-year-old male who presented to the emergency department with lower abdominal pain. Pre-operative computed tomography scan suggested a torted MD. This was confirmed on diagnostic laparoscopy and managed with segmental resection of the MD and a concurrent appendicectomy. Histopathology confirmed torsion of MD and a normal appendix. The patient recovered well without any complications. Torsion occurs invariably with giant MD defined as a length of >5 cm. Surgical options for MD include diverticulectomy, wedge resection and segmental resection via laparoscopic or open approach. The rate of pre-operative diagnosis remains low but with advances in imaging and awareness of this condition, this is likely to increase with time. [ABSTRACT FROM AUTHOR]