Large Enterolith in a Perforated Meckel's Diverticulum: A Rare Cause of Acute Abdomen

Volvulus of Meckel’s Diveticulum: A Rare Cause of Intestinal Obstruction in Children

“…The principal complications of Meckel's diverticulum include ulceration, hemorrhage, small bowel obstruction, diverticulitis, and perforation. The Meckel's rule of 2's is that it occurs in 2% of the population, 2% of those with a Meckel's diverticulum will manifest clinical problems, located 2 feet proximal to the ileocecal valve and the diverticulum is approximately 2 inches long, and symptoms commonly manifest at age of 2 years [2]. Ulceration with subsequent hemorrhage (often hemodynamically significant, but usually not life threatening) is the most common complication, with an incidence of about 20-30% of all complications.…”

“…Here we present a rare case in which volvulus developed due to twisting around a persisting umbilical remnant. A literature review of online publication showed two case reports of volvulus of Meckel's diverticulum in children [2,7,8]. Intussusception of Meckel's diverticulum leading to intestinal obstruction is common but very few cases of volvulus of Meckel's diverticulum have been documented.…”

“…Most patients are asymptomatic but patients with clinical symptoms have a higher incidence of heterotopic tissue [1,2]. When patients with a Meckel's diverticulum develop symptoms; a complication is almost always present.…”