Leo Feinberg1, Charlotte Morris2, Ananth Srinivasan1, Pratik Bhattachyra1, Charan K2 and Shafquat Zaman1*
1Sandwell and West Birmingham Hospitals NHS Trust, Sandwell General Hospital, UK 2George Eliot NHS Trust, UKFulltext PDF
Meckel’s Diverticulum (MD) is the most common congenital malformation of the gastrointestinal tract and the only true diverticulum of the small bowel, resulting from the incomplete obliteration of the vitelline duct in the first 5 to 7 weeks of gestation. However, MD is rare, with a traditional prevalence of 2% in the general population. While the majority of MD never becomes symptomatic, potential for severe complications may arise secondary to diverticulitis with or without perforation, hemorrhage and obstruction. Considerable debate therefore exists whether or not to surgically resect MD found incidentally. Moreover, such complications present considerable diagnostic challenges, and given its rarity, are scarcely considered in the differentials of an acute abdomen. We present one of the longest cases of giant MD reported in the literature, with non-perforated diverticulitis in a young adult male attending with an acute abdomen and normal inflammatory markers. He underwent successful, un-complicated laparoscopic resection. Histopathological analysis confirmed Meckel’s diverticulitis in the absence of ectopic gastric or pancreatic tissue.
Feinberg L, Morris C, Srinivasan A, Bhattachyra P, Charan K, Zaman S. An Atypical Presentation of Giant Meckel’s Diverticulitis: A Case Report. J Gastroenterol Hepatol Endosc. 2019;4(3):1065..