Gangrene due to axial torsion of a Giant Meckel's Diverticulum containing multiple stones in the lumen: a case report

Abstract

Meckel's diverticulum is the most common congenital anomaly of the small intestine. Common complications related to a Meckel's diverticulum include haemorrhage, intestinal obstruction and inflammation. Gangrene due to axial torsion and enteroliths of a Meckel's diverticulum are the rarest complications that have been reported in the literature. We report a case of gangrene due to axial torsion of giant Meckel's diverticulum with multiple stones in its lumen.

Segmental dilatation of ileum in a young patient presenting with anemia

“…Heterotopic gastric or pancreatic mucosa may be found in both the entities and should not be the criteria for diagnosing giant Meckel's diverticulum. [ 9 10 ]…”

Laparoscopic resection of a huge gangrenous Meckel’s diverticulum in an adult

“…(4,5) In both cases, the patients underwent laparotomy, with one patient requiring resection of the involved small bowel with primary anastomosis.…”

Perforated Giant Meckel's Diverticulum Mimicking Colonic Ischemia

“…It is formed as a result of an incomplete obliteration of the vitelline duct in about 2% of the population [1, 2]. MD is a true diverticulum and is usually located within 60 to 100 cm proximal to the ileocaecal valve [3]. Cells lining the MD are pluripotent, and can differentiate into gastric, pancreatic or colonic mucosa.…”

“…Patients with giant MD usually remain asymptomatic; however, they have a four to six percent lifetime risk of developing complications [3]. Males are more prone to develop complications than females and are therefore more likely to be diagnosed [5].…”

“…Males are more prone to develop complications than females and are therefore more likely to be diagnosed [5]. Complications include inflammation, perforation, intussusception, volvulus and hemorrhage [3].…”