Giant Meckel diverticulum with enteroliths: a case report of a patient presenting with low back and episodic right lower quadrant pain

Abstract

Objectives: The purpose of this case report is to describe a patient who presented with low back pain and episodic right lower quadrant pain who had a long-standing giant Meckel diverticulum with enteroliths. Clinical features: A 49-year-old woman presented to a chiropractic clinic with low back pain and history of intermittent right lower quadrant pain. Lumbar radiography demonstrated calcifications in the pelvic basin that changed position with changes in patient posture. The patient was referred to an abdominal surgeon for consultation and management. Intervention and outcome: Computed tomography identified calcifications in the small bowel in the region of the ileocecal valve. The patient underwent prophylactic diverticulectomy with no complications. Gross pathology revealed a giant Meckel diverticulum measuring 24 inches (60.9 cm) containing 6 enteroliths. Conclusions: A timely diagnosis resulted in a favorable surgical outcome for this patient with long-standing giant Meckel diverticulum and enteroliths.

T-shaped Meckel’s diverticulum: a rare anatomical variant complicating small bowel volvulus

“…Cases of giant Meckel's diverticula (>5 cm) are relatively rare and are associated with more severe complications, especially obstruction. 3,4 The factors predisposing patients to axial torsion of Meckel's diverticulum include, the presence of mesodiverticular bands, a narrow base, excessive length, associated neoplastic growth and inflammation of the diverticulum. Here we present a case of a 58-year-old Gentleman presented with acute abdomen to Emergency Department and on emergency exploratory laprotomy found to be of small and large bowel.…”

Intermittent subacute obstruction of small bowel by Giant Meckel's Diverticulum- a case report

“…This prevailing abnormality usually varies in size from 1 to 10 cm [3] . Cases of Giant Meckel's diverticulum more than 5 cm in length are rare and linked with serious complications, mostly obstruction [4 , 5] . Meckel's diverticulum commonly exhibits as gastrointestinal bleeding in pediatric population and as intestinal obstruction in adults [6] .…”