Torsion of Ileum Due To Giant Meckel's Diverticulum - A Case Report

Nguyen Duy Hung; Trinh Anh Tuan; Than Van Sy; Vu Duc Thinh; Vo Truong Nhu Ngoc; Vu Thi Nga; Van Thai Than

doi:10.3889/oamjms.2019.876

Torsion of Ileum Due To Giant Meckel's Diverticulum - A Case Report

Open Access Maced J Med Sci. 2019 Dec 20;7(24):4432-4434. doi: 10.3889/oamjms.2019.876. eCollection 2019 Dec 30.

Authors

Nguyen Duy Hung^{1

2}, Trinh Anh Tuan², Than Van Sy², Vu Duc Thinh³, Vo Truong Nhu Ngoc⁴, Vu Thi Nga⁵, Van Thai Than⁶

Affiliations

¹ Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.
² Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam.
³ Digestive Surgery Department, Viet Duc Hospital, Hanoi, Vietnam.
⁴ School of Odonto Stomatology, Hanoi Medical University, Hanoi, Vietnam.
⁵ Institute for Research and Development, Duy Tan University, Danang, Vietnam.
⁶ NTT Institute of High Technology, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam.

Abstract

Background: Meckel's diverticulum (MD) is detected in approximately 2% of all individuals and only 2-4% MD patients may develop symptoms. Small intestinal obstruction is a frequent complication in adults.

Case report: A 48-year-old male was admitted to emergency department for high intestinal obstruction symptoms. The imaging examinations were failed to detect the underlying causes. A median laparotomy revealed small bowel obstruction (SBO) due to a segment of ileum twisted around a giant MD axis.

Conclusion: Thus, a giant MD generating torsion of ileum is an unusual complication. Preoperative diagnosis is challenging. Emergency surgery is preferred to make an accurate diagnosis and for treatment.

Keywords: Meckel’s diverticulum; abdominal distension; abdominal pain; gastrointestinal tract.