Andrew Francis* and Mark Pozsgay
Department of General Surgery, Summa Akron City Hospital, USAFulltext PDF
Background: Abdominal pain secondary to Meckel’s diverticulum is rare in adult patients. Diagnosis of complicated Meckel’s remains challenging as it often presents with right lower quadrant pain that can be confused with acute appendicitis. As such, it is frequently diagnosed during abdominal exploration. Case Report: A 35-year-old male presented after transfer from an outside hospital with concern for intussusception based on an outside interpretation of a computed tomography scan of the abdomen. Upon an independent review of imaging, there was a concern for complicated Meckel's diverticulum. He was managed by laparoscopically assisted extracorporeal small bowel resection with primary anastomosis. Pathological evaluation of the specimen confirmed performed Meckel's diverticulitis. His postoperative course was unremarkable, and he was discharged home on postoperative day three. Conclusion: Complicated Meckel's diverticulum in adults is relatively uncommon and a high index of suspicion is needed for its diagnosis. The treatment of choice is operative management that can be accomplished with either open or minimally invasive approaches.
Meckel’s diverticulum; Diverticulitis; Operative management; CT
Francis A, Pozsgay M. Complicated Meckel’s Diverticulum: An Uncommon Etiology of Acute Abdomen in Adults. Ann Surg Case Rep. 2021; 4(2): 1050..