Inverted Meckel's diverticulum: a rare cause of ileo-ileal intussusceptions and lower gastrointestinal bleeding
Abstract
Intussusception due to an inverted Meckel's diverticulum in adults is rare. We present a case report of a 28-year-old man with Meckel's diverticulum as a cause of ileo-ileal intussusceptions and lower gastrointestinal bleeding.
The patient was admitted to the hospital with incomplete small bowel obstruction, abdominal pain and massive rectal bleeding. Surprisingly, pre-operative abdominal USG revealed inhomogeneous target-like mass in the right lower abdominal quadrant as intussusception with an intraluminal polypoid lesion.
The patient underwent urgent laparotomy which confirmed ileo-ileal intussusception. The involved segment of small intestine (70 cm) was resected.
The surgical specimen contained an elongated polypoid lesion of 8x2.5x2 cm within the ileal lumen. Histopathological examination ascertained an inverted Meckel's diverticulum.
In the discussion, we deal with diagnosis and treatment issues of Meckel's diverticulum.