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Meckel's diverticulum causing acute intestinal obstruction_A case report and comprehensive review of the literature.pdf (4.6 MB)

Meckel's diverticulum causing acute intestinal obstruction: a case report and comprehensive review of the literature

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posted on 2024-03-15, 11:27 authored by Talal Almas, Abdulla K Alsubai, Danyal Ahmed, Muneeb Ullah, Muhammad Faisal Murad, Khadeer Abdulkarim, Eissa Sultan Alwheibi, Mohamed Alansaari, Tala Abdullatif, Sebastian Hadeed, Muhammad Omer Khan, Majid Alsufyani, Enaam Alzadjali, Arjun Samy, Mert Oruk, Mhmod Kadom, Fatemah Saleh Alhajri, Ahmed Barakat, Maen Monketh Alrawashdeh, Mohammad Said, Reem AlDhaheri, Emad Mansoor

Introduction: Meckel's diverticulum is a congenital anomaly that is often detected incidentally. When it presents symptomatically, it causes painless gastrointestinal bleeding. Nevertheless, in rare instances, it can cause acute intestinal obstruction, often obscuring the true clinical picture.

Case presentation: A 31-year-old male presented to the emergency department with a 24-h history of unremitting nausea, biliary emesis, abdominal distension, and absolute constipation. After ruling out the most common etiologies of acute bowel obstruction, radiological imaging was obtained and was suggestive of meckel's diverticulum. Laparoscopic meckel's diverticulectomy was performed, with the subsequent histopathological analysis confirming ectopic gastric tissue.

Discussion: Meckel's diverticulum occurs consequent to incomplete obliteration of the vitelline or omphalomesenteric duct, which connects the developing intestines to the yolk sac. It is found in roughly 2% of the population, of which only about 4% may become symptomatic due to any number of complications. Specifically, small bowel obstruction (SBO) and diverticulitis secondary to ectopic gastric or pancreatic tissue are the most common presentations of symptomatic MD.

Conclusion: Although relatively rare in adults, MD should be considered in the list of differentials in patients with intussusception leading to SBO, especially on a background history unremarkable for the most common etiologies causing SBO including post-operative adhesions and hernias.

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The original article is available at https://journals.lww.com/

Published Citation

Almas T, et al. Meckel's diverticulum causing acute intestinal obstruction: a case report and comprehensive review of the literature. Ann Med Surg (Lond). 2022;78:103734.

Publication Date

7 May 2022

PubMed ID

35592821

Department/Unit

  • Undergraduate Research

Publisher

Elsevier Ltd

Version

  • Published Version (Version of Record)

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