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Intestinal ınvagination due to Meckel's diverticulum in an adult patient

Year 2018, Volume: 10 Issue: 3, 91 - 94, 01.12.2018

Abstract

Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract. The prevalence rate in the general population is 1-3%. Meckel’s diverticulum is two times more common and symptomatic in men. Complications due to Meckel’s diverticulum are very rare in adulthood. Gastrointestinal bleeding, diverticulitis, small bowel obstruction, intussusception are complications due to Meckel’s diverticulum. It is usually detected during laparotomy with other radiological and clinical misdiagnoses. The most common complication of Meckel’s diverticulum in adults is intestinal obstruction. Only 2% of intestinal invaginations in adults are related to Meckel’s diverticulum. Simple diverticulectomy is the most appropriate surgical option. However, segmental small bowel resection may also be performed if there is ischemic findings in small bowel invagination. The aim of this case report is to present a case of invagination due to Meckel’s diverticulum in a 22 years old female patient. It should be kept in mind that Meckel’s diverticulum may be an underlying rare cause of small bowel invagination.

References

  • 1. Park JJ, Wolff BG, Tollefson MK, at al. Meckel’s Diverticulum. Ann Surg 2005 ;241(3):529-33.
  • 2. Meckel JF. Uber die divertikel am darmkanal. Arch Physiol 1809;9(1):421-53.
  • 3. Citgez B, Yetkin G, Uludağ M, et al. A rare combination of intestinal invagination and Meckel’s diverticulum in an adult: A case report. Turk J Gastroenterol 2012; 23 (1):63-65.
  • 4. Dumper J, Mackenzie S, Mitchell P, et al. Complications of Meckel’s diverticula in adults. Can J Surg 2006;49:353–7.
  • 5. Kotha VK, Khandelwal A, Saboo SS, et al. Radiologist’s perspective for the Meckel’s diverticulum and its complications. Br J Radiol 2014;87:20130743.
  • 6.Toso C, Erne M, Lenzlinger PM, et al. İntussusception as a cause of bowelobstruction in adults. SwissMed WKYL 2005;135:87–90.
  • 7. Levy AD, Hobbs CM. From the archives of the AFIP. Meckel’s diverticulum: radiologic features with pathologic correlation. Radio-graphics 2004;24:565– 87.
  • 8. Bani-Hani KH, Shatnawi NJ. Meckel’s Diverticulum: Comparison of Incidental and Symptomatic Cases. World J Surg 2004;28:917-920.
  • 9. Swaniker F, Soldes O, Hirschl RB. Theutility of technetium 99 m pertechnetatescintigraphy in the evaluation of patients with Meckel’s diverticulum. J Pediatr Surg 1999;34:760–765.
  • 10. Cullen JJ, Kelly KA. Current management of Meckel’s diverticulum. Adv Surg 1996;29: 207-214

Erişkin hastada intestinal invajinasyona sebep olan Meckel divertikülü

Year 2018, Volume: 10 Issue: 3, 91 - 94, 01.12.2018

Abstract

Meckel Divertikülü gastrointestinal sistemin en sık görülen konjenital anomalisidir. Genel popülasyonda %1-3 oranında görülür. Meckel Divertikülü erkeklerde 2 kat daha yaygın ve semptomatiktir. Erişkin yaşlarda Meckel Divertikülü’ne bağlı komplikasyonlar oldukça nadir görülür. Gastrointestinal kanama, divertikülit, ince barsak obstrüksiyonu, intususepsiyon Meckel Divertikülü’ne bağlı gelişen komplikasyonlardır. Genellikle radyolojik ve klinik olarak konmuş yanlış tanılarla yapılan laparatomiler sırasında saptanır. Erişkinlerde en sık görülen Meckel Divertikülü komplikasyonu intestinal obstrüksiyondur. Erişkinlerde gelişen intestinal invajinasyonların sadece %2’si Meckel Divertikülü’ne bağlıdır. Tedavide basit divertikülektomi en uygun cerrahi seçenektir. Bununla birlikte ince barsak invajinasyonunda iskemik bulgular varsa segmenter ince barsak rezeksiyonu da uygulanabilir. Bu vaka sunumunun amacı 22 yaşında kadın hastada gelişen Meckel Divertikülü’ne bağlı invajinasyon olgusunu sunmaktır. Meckel Divertikülü’nün ince barsak invajinasyonunun nadir bir nedeni olabileceği akılda tutulmalıdır.

References

  • 1. Park JJ, Wolff BG, Tollefson MK, at al. Meckel’s Diverticulum. Ann Surg 2005 ;241(3):529-33.
  • 2. Meckel JF. Uber die divertikel am darmkanal. Arch Physiol 1809;9(1):421-53.
  • 3. Citgez B, Yetkin G, Uludağ M, et al. A rare combination of intestinal invagination and Meckel’s diverticulum in an adult: A case report. Turk J Gastroenterol 2012; 23 (1):63-65.
  • 4. Dumper J, Mackenzie S, Mitchell P, et al. Complications of Meckel’s diverticula in adults. Can J Surg 2006;49:353–7.
  • 5. Kotha VK, Khandelwal A, Saboo SS, et al. Radiologist’s perspective for the Meckel’s diverticulum and its complications. Br J Radiol 2014;87:20130743.
  • 6.Toso C, Erne M, Lenzlinger PM, et al. İntussusception as a cause of bowelobstruction in adults. SwissMed WKYL 2005;135:87–90.
  • 7. Levy AD, Hobbs CM. From the archives of the AFIP. Meckel’s diverticulum: radiologic features with pathologic correlation. Radio-graphics 2004;24:565– 87.
  • 8. Bani-Hani KH, Shatnawi NJ. Meckel’s Diverticulum: Comparison of Incidental and Symptomatic Cases. World J Surg 2004;28:917-920.
  • 9. Swaniker F, Soldes O, Hirschl RB. Theutility of technetium 99 m pertechnetatescintigraphy in the evaluation of patients with Meckel’s diverticulum. J Pediatr Surg 1999;34:760–765.
  • 10. Cullen JJ, Kelly KA. Current management of Meckel’s diverticulum. Adv Surg 1996;29: 207-214
There are 10 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Kağan Gökçe

Cenk Yazkan This is me

Naki Bulut This is me

Cihan Aydın This is me

Emrah Doğan This is me

Serkan Akbulut This is me

Publication Date December 1, 2018
Published in Issue Year 2018 Volume: 10 Issue: 3

Cite

Vancouver Gökçe K, Yazkan C, Bulut N, Aydın C, Doğan E, Akbulut S. Erişkin hastada intestinal invajinasyona sebep olan Meckel divertikülü. Maltepe tıp derg. 2018;10(3):91-4.