Torsion of a Meckel's diverticulum: sonographic findings

Gallego-Herrero, C.; Pozo-Garcia, G del; Marín-Rodriguez, C; Andres, Cesar

doi:10.1007/s002470050425

Cited by 17 publications

(7 citation statements)

References 6 publications

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“…Ultrasound features of torsion of MD around the vitelline duct has been described. 7,8 The appearance on computed tomography (CT) scan of torted MD is also described in a child. 6 The radiologic features are nonspecific and are usually correlated retrospectively.…”

Section: Discussionmentioning

confidence: 96%

Laparoscopic Resection of an Axially Torted Meckel’s Diverticulum in a 13-Year-Old

Prasad

Chui²,

Jacobsen³

2006

Journal of Laparoendoscopic & Advanced Surgical Techniques

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We report an unusual case of acute abdomen due to axial torsion and infarction of a Meckel's diverticulum in a 13-year-old boy and illustrate the versatility of laparoscopy in the diagnosis and management of acute surgical abdomen in children. We believe that this is only the third case reported in a child of torsion of a Meckel's diverticulum and the first to be managed by laparoscopic resection.

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Section: Discussionmentioning

confidence: 96%

Laparoscopic Resection of an Axially Torted Meckel’s Diverticulum in a 13-Year-Old

Prasad

Chui²,

Jacobsen³

2006

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…Abdominal radiographs are usually normal but may reveal an ileus or perforation [4]. Less common radiographic appearances have included gas-filled diverticula being mistaken for emphysematous cholecystitis, intussusception in infants, and even a report of MD containing calculi simulating gallstones [8]. Ultrasound may exclude intussusception, which can avoid unnecessary interventions such as attempts at reduction by the use of enemas.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound may exclude intussusception, which can avoid unnecessary interventions such as attempts at reduction by the use of enemas. The MD appears similar to the bowel, with a layered wall; however, when torted, it mimics a cystic, tube-like, non-peristaltic structure [8]. The major difference is acute appendicitis.…”

Section: Discussionmentioning

confidence: 99%

“…The major difference is acute appendicitis. A larger size and a location far from the ileocecal region would favor the diagnosis of axial MD torsion [8]. Computed tomographic scans may also be misleading, as described in case reports of a torted MD's being mistaken for a loculated cystic pelvic mass [3,19].…”

Section: Discussionmentioning

confidence: 99%

“…The most common childhood complication is rectal bleeding due to ileal peptic ulceration secondary to ectopic gastric mucosa [7,8]. Intestinal obstruction is the more common presentation in adults, caused by either intussusception or small bowel volvulus around a diverticular band anchored to the anterior abdominal wall.…”

Section: Introductionmentioning

confidence: 99%

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Axial torsion as a rare and unusual complication of a Meckel's diverticulum: a case report and review of the literature

Seth

2011

J Med Case Reports

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IntroductionIn 1809, Johann Friedrich Meckel described the embryology of a small bowel diverticulum, which now bears his name. Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract, with a prevalence ranging from 1% to 4% of the population. The majority are clinically silent and are incidentally identified at surgery or at autopsy. The lifetime risk of complications is estimated at 4%, with most of these complications occurring in adults. It is these cases that can cause problems for the clinician, as the diagnosis can be elusive and the consequences extremely serious.Case presentationWe present the case of a 68-year-old Caucasian man with axial torsion of a Meckel's diverticulum around its base, a rare complication. He presented with acute, severe abdominal pain, and a clinical diagnosis of perforated acute appendicitis was made. Laparotomy revealed a torted Meckel's diverticulum with distal necrosis and perforation, which was resected. His recovery was uncomplicated, and he was discharged to home six days post-operatively.ConclusionTorsion is an extremely rare complication of Meckel's diverticulum. Its presentation can be elusive, and it can mimic a number of different, more common intra-abdominal pathologies. Imaging appears to be an unreliable diagnostic tool, and the diagnosis is usually made intra-operatively. Factors pre-disposing these patients to axial torsion of Meckel's diverticulum include the presence of mesodiverticular bands, a narrow base, excessive length, and associated neoplastic growth or inflammation of the diverticulum. The importance of searching for a diseased Meckel's diverticulum at laparotomy in appropriate circumstances is highlighted. Once identified, prompt surgical excision generally leads to an uncomplicated recovery.

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Meckel's diverticulum mimicking infantile colic: Sonographic detection

Huang

Lee

2000

J. Clin. Ultrasound

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Torsion of a Meckel's diverticulum: sonographic findings

Cited by 17 publications

References 6 publications

Laparoscopic Resection of an Axially Torted Meckel’s Diverticulum in a 13-Year-Old

Laparoscopic Resection of an Axially Torted Meckel’s Diverticulum in a 13-Year-Old

Axial torsion as a rare and unusual complication of a Meckel's diverticulum: a case report and review of the literature

Meckel's diverticulum mimicking infantile colic: Sonographic detection

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