Open Access“Meckel’s Diverticulum” – A diagnostic bizarre of abdominal pain in adults
Author(s) -
Vipin Kumar Bakshi,
Manjot Kaur,
Gajendra Bhatti
Publication year - 2020
Language(s) - English
DOI - 10.25259/aujmsr_2_2020
Subject(s) - medicine , diverticulitis , bowel obstruction , laparotomy , abdomen , diverticulum (mollusc) , meckel's diverticulum , abdominal pain , ileum , radiology , vomiting , ileal diseases , surgery
A 30-year-old male presented to the emergency room with complaints of periumbilical abdominal pain and vomiting. A contrast-enhanced computed tomography scan of the abdomen revealed subacute intestinal obstruction with dilated small bowel loops and associated bowel wall thickening of mid and distal ileal bowel loops. There was a fairly large small bowel diverticulum arising from the antimesenteric border of distal ileum. Findings were suggestive of small bowel diverticulitis or possibly focal enteritis. The patient was then immediately taken to the operating room for emergency laparotomy and was intra-operatively found to have a thickened Meckel’s diverticulitis with adjacent small bowel obstruction. Meckel’s diverticulectomy was performed in continuity with the adjacent inflamed small bowel. The patient had a stable post-operative course without any complications and was discharged within a week.