Axial torsion of Meckel's diverticulum presenting as a pelvic mass

2001 ◽  
Vol 31 (12) ◽  
pp. 886-888 ◽  
Author(s):  
S. L. Farris ◽  
S. K. Fernbach
2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Hiromitsu Nagata ◽  
Hiroyasu Nishizawa ◽  
Susumu Mashima ◽  
Yasuyuki Shimahara

Abstract Background Meckel’s diverticulum is considered the most prevalent congenital anomaly of the gastrointestinal tract. Approximately 4% of patients are symptomatic with complications such as bleeding, intestinal obstruction, and inflammation, while axial torsion of Meckel’s diverticulum is rare, particularly in pregnancy. Case presentation A 31-year-old woman in week 15 of pregnancy complained of epigastric pain, nausea and vomiting. Clinical diagnosis was severe hyperemesis gravidarum. Because the symptoms persisted during hospitalization, CT was performed and revealed dilated small bowel loops with multiple air-fluid levels. In the right mid-abdomen, there was a large part of air containing a cavity connected to the small intestine, which was considered a dilated bowel loop. Emergency laparotomy was performed and axial torsion of a large Meckel’s diverticulum measuring 11 cm was found at a few centimeters proximal to the ileocecal valve. Ileocecal resection including Meckel’s diverticulum was performed. The postoperative course was uneventful. At 40 weeks gestation, she had vaginal delivery of normal baby. Conclusion The physiological and anatomical changes in pregnancy can make a straightforward clinical diagnosis difficult. Prompt diagnosis and management were needed in order to avoid significant maternal and fetal risks. The use of imaging examinations, especially CT examination, with proper timing may be helpful to prevent delay in diagnosis and surgical intervention. Here, we report the case of a patient with axial torsion of Meckel’s diverticulum in pregnancy. To our knowledge, axial torsion of Meckel’s diverticulum in the first trimester of pregnancy has not been reported in the English medical literature.


2021 ◽  
Vol 12 ◽  
pp. 1
Author(s):  
Chibueze Onyemkpa ◽  
Benjamin Kuhns ◽  
Thomas Murickan ◽  
Crystal Drayer ◽  
Kosisochi Obinwanne

2001 ◽  
Vol 36 (12) ◽  
pp. 1855-1858 ◽  
Author(s):  
Pelin Oğuzkurt ◽  
İ Serdar Arda ◽  
Fazilet Kayaselçuk ◽  
Özlem Barutçu ◽  
Levent Oğuzkurt

1998 ◽  
Vol 93 (8) ◽  
pp. 1373-1375 ◽  
Author(s):  
Sandeep Malhotra ◽  
Douglas A. Roth ◽  
Thomas H. Gouge ◽  
Steven R. Hofstetter ◽  
Gurdip Sidhu ◽  
...  

2019 ◽  
Vol 89 (3) ◽  
pp. 267-267
Author(s):  
Vipul D. Yagnik ◽  
Sunil R. Prajapati

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Constantinos Nastos ◽  
Dimitrios Giannoulopoulos ◽  
Ioannis Georgopoulos ◽  
Christos Salakos ◽  
Dionysios Dellaportas ◽  
...  

We present a unique case of a 16-year-old male patient who was eventually diagnosed with a large enterolith arising from a Meckel’s diverticulum. The enterolith had caused intermittent intestinal symptoms for three years before resulting in small bowel obstruction requiring surgical intervention. Meckel’s enterolith ileus is very rare with only few cases described in the literature. To our knowledge, this is only the second case of Meckel’s enterolith which had caused intermittent symptoms over a period of time, before resulting in ileus, and the first case where the intermittent symptoms lasted several years before bowel obstruction. The patient had been evaluated with colonoscopy, computerized tomography (CT), and magnetic resonance imaging enterography (MRIE); a calcified pelvic mass had been found, but no further diagnosis other than calcification was established. The patient presented at our emergency department, with symptoms of obstructive ileus and underwent exploratory laparotomy, where a large enterolith arising from a Meckel’s diverticulum (MD) was identified, causing the obstruction. A successful partial enterectomy, enterolith removal, and primary end-to-end anastomosis took place; the patient was permanently relieved from his long-standing symptoms. Consequently, complications of Meckel’s diverticulum and enterolithiasis have to be included in the differential diagnosis of abdominal complaints.


2015 ◽  
Vol 97 (3) ◽  
pp. e47-e49 ◽  
Author(s):  
A Xanthis ◽  
A Hakeem ◽  
P Safranek

Complications from a Meckel’s diverticulum include diverticulitis, bleeding, intussusception, bowel obstruction, a volvulus, a vesicodiverticular fistula, perforation or very rarely as a tumour. We report a case where a Meckel’s diverticulum presented with a terminal ileal volvulus in a 32-year-old man without the presence of a typical vitelline band or axial torsion of the diverticulum causing the volvulus. It was successfully managed laparoscopically.


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