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Mahdi Bouassida, Bilel Feidi, Mechaal Ben Ali, Mohamed Fadhel Chtourou, Marouene Krifa, Selim Sassi, Fathi Chebbi, Mohamed Mongi Mighri, Hassen Touinsi, Sadok Sassi. Intussusception caused by an inverted Meckel diverticulum: a rare cause of small bowel obstruction in adults. The Pan African Medical Journal. 2011;10:57 Key words: Meckel diverticulum, intussusception, inverted diverticulum, emergency surgery, intestinal obstruction Permanent link: http://www.panafrican-med-journal.com/content/article/10/57/full Received: 06/12/2011 - Accepted: 17/12/2011 - Published: 18/12/2011 © Mahdi Bouassida et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Intussusception caused by an inverted Meckel diverticulum: a rare cause of small bowel obstruction in adults
Mahdi Bouassida1,&, Bilel Feidi1, Mechaal Ben Ali2, Mohamed Fadhel Chtourou1, Marouene Krifa2, Selim Sassi1, Fathi Chebbi1, Mohamed Mongi Mighri1, Hassen Touinsi1, Sadok Sassi1
1Department of surgery, Mohamed Thahar Maamouri Hospital, Nabeul, Tunisia, 2Department of reanimation, Mohamed Thahar Maamouri Hospital, Nabeul, Tunisia
&Corresponding author
Mahdi Bouassida, Department of surgery, Mohamed Thahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
Adult intussusception due to Meckel’s diverticulum is an uncommon cause of intestinal obstruction. However, the surgeon should still be suspicious of this condition since the non specific symptoms and the rarity of it make a preoperative diagnosis uncertain. Considering the secondary nature of adult intussusception and the necessity of early surgical intervention to avoid morbidity and mortality, we report one case of intussusception due to Meckel’s diverticulum in an adult. A 22-year-old patient was admitted to our hospital with vomiting and abdominal pain. The abdomen was hard with tenderness. We diagnosed an acute small bowel obstruction and performed emergency surgery. The intra operative findings were distention of the small bowel and intussusception of ileus due to an inverted Meckel’s diverticulum located 70 cm from the ileocecal valve. 30 cm ischemic loop was identified. A segmental small bowel resection and hand-sewn anastomosis was performed. Histopathology distinguished Meckel’s diverticulum measuring 5 cm x 3.5 cm x 1 cm and no signs of malignancy.
