Ramadan Mahmoud Noran Sultan, Waed Jameel and Ahmed Kamel Ghanem*
Department of General Surgery, King Abdualziz Hospital, Makkah, Saudi ArabiaFulltext PDF
Introduction: Meckel’s Diverticulum (MD) has a wide range of presentations and it could mimic appendicitis initially mis-diagnosing could lead to complication and inappropriate management plan. In 1808 Johann Friedrich Meckel published the first paper about MD pathology and embryology. A 5 cm MD called a giant and it's more prone to complications. Case Presentation: A 28 old female, Presented to ER complaining of severe abdominal pain and admitted as a case of appendicitis. Intra-operatively a twisted Meckel’s diverticulum was seen and resection was done with no complications. Discussion: (MD) is a true diverticulum, usually found on the anti-mesenteric edge in the ileum with average distance 67 cm from ileocaecal valve in 4% to 6% of the cases present with complications. In our case we highlight the importance of keeping in mind a MD in the primary differential causes of bowel obstruction. A CT can aid in identifying the cause if not proceeding to exploratory laparoscopy or laparotomy is the preferred approach
Meckles diverticulum; Bowel obstruction; Giant meckles diverticulum; Surgical abdomen
Noran Sultan RM, Jameel W, Kamel Ghanem A. Meckel's Diverticulum: A Case Report. Ann Surg Case Rep. 2019; 2(3): 1022..