Open AccessAxial Torsion of Meckel’s Diverticulum: A Rare Case Report
Author(s) -
Sandesh Parab,
Pramod Govindrao Salve,
Aruna Dahiphale,
Rupesh Thakare,
Amit B. Aiwale
Publication year - 2017
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2017/28613.10580
Subject(s) - medicine , exploratory laparotomy , meckel's diverticulum , acute abdomen , laparotomy , appendicitis , torsion (gastropod) , gangrene , surgery , diverticulum (mollusc) , peritonitis , general surgery , radiology
Meckel's Diverticulum (MD) is the most common congenital anomaly of gastrointestinal tract, occurring in 2% of the population. It is a true diverticulum and histologically all four intestinal layers are present within MD. There are various complications related to a Meckel's diverticulum, including haemorrhage, intestinal obstruction, inflammation and perforation. Axial torsion followed by gangrene of MD is the rarest of the complications that have been reported. The exact mechanism for torsion is unclear. Preoperative diagnosis of torsion of MD is difficult and often confused with appendicitis as pain is usually localized to right lower quadrant. Radiological investigations do not provide much help in diagnosis. We report a case of axial torsion of MD presenting as acute abdomen in an 11-year-old female patient. The diagnostic laparoscopy was performed. Confirmatory diagnosis and further surgical management was done by exploratory laparotomy under general anaesthesia.