Small Bowel Obstruction due to a Giant Meckel's Diverticulum

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Abstract

Background: Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, with an average length of 3 cm. Complications occur in 6.4% and most commonly include inflammation and gastrointestinal bleeding. Preoperative diagnosis is demanding and achieved in 4%. Case Report: A 34-year-old otherwise healthy patient presented with an acute abdomen due to small bowel obstruction. Computed tomography scan could not identify the underlying cause. Emergency laparotomy was performed, and a torqued giant Meckel's diverticulum measuring 17 cm was found as the underlying cause for the small bowel obstruction. Resection of the affected ileum segment and ileo-ileal reconstruction were performed. The postoperative course was uneventful. Conclusion: In extremely rare cases, small bowel obstruction in an otherwise healthy patient might be caused by torsion of a symptomatic giant Meckel's diverticulum.

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Luu, A. M., Meurer, K., Herzog, T., Uhl, W., Tannapfel, A., & Braumann, C. (2016). Small Bowel Obstruction due to a Giant Meckel’s Diverticulum. Visceral Medicine, 32(6), 434–436. https://doi.org/10.1159/000450589

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