Abstract
Background
Torsion is a rare complication of Meckel’s diverticulum. The case is reported of migrating, acute-onset abdominal pain due to axial torsion and necrosis of a Meckel’s diverticulum, diagnosed and treated laparoscopically.
Methods
A 45-year-old woman presented with left upper quadrant abdominal tenderness and leukocytosis. On the following day, the tenderness had shifted to the right lower quadrant and was accompanied by rebound tenderness. Diagnostic laparoscopy revealed a twisted and necrotic giant Meckel’s diverticulum, which was completely laparoscopically managed.
Results
The patient had an uneventful enhanced recovery. The laparoscopic approach avoided unnecessary scans and led to the easy diagnosis and surgical treatment without complications.
Conclusions
Migrating, acute-onset non-specific abdominal pain may be due to a complication of a Meckel’s diverticulum, as in this case of torsion and necrosis.
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References
Sagar J, Kumar V, Shah DK. Meckel’s diverticulum: A systematic review. J R Soc Med 2006;99:501–5.
Sharma RK, Jain VK. Emergency surgery for Meckel's diverticulum. World Journal of Emergency Surgery 2008;3:27
Park JJ, Wolff BG, Tollefson MK, et al. Meckel diverticulum: The Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg 2005;241:529–33.
Cullen JJ, Kelly KA, Moir CR, et al. Surgical management of Meckel's diverticulum. An epidemiologic, population-based study. Ann Surg 1994;220:564–8.
Limas C, Seretis K, Soultanidis C, et al. Axial torsion and gangrene of a giant Meckel’s diverticulum. J Gastrointestin Liver Dis 2006;15:67–8.
Nose S, Okuyama H, Sasaki T, et al. Torsion of Meckel's Diverticulum in a Child. Case Rep Gastroenterol 2013;7:14–8.
Nunes QM, Hotouras A, Tiwari S, et al. Gangrene due to axial torsion of a Giant Meckel’s Diverticulum containing multiple stones in the lumen: A case report. Cases J 2009;2:7141.
Caillouët IS, Jaffe BM. Torsion and gangrene of a Meckel's diverticulum. J La State Med Soc 2009;161:19–22.
Ruiz LVA, Camacho OLA, Diaz TDA. Giant Meckel’s diverticula with necrosis due to axial torsion. Rev Col Gastroenterol 2010;25:398–400.
Seth A, Seth J. Axial torsion as a rare and unusual complication of a Meckel's diverticulum: A case report and review of the literature. J Med Case Rep 2011;5:118.
Sharma RK, Jain VK, Kamboj S, et al. Gangrenous Meckel’s diverticulum causing acute intestinal obstruction in an adult. ANZ J Surg 2008;78:1046–7.
Cartanese C, Petitti T, Marinelli E, et al. Intestinal obstruction caused by torsed gangrenous Meckel’s diverticulum encircling terminal ileum. World J Gastrointest Surg 2011;3:106–9.
Caiazzo P, Albano M, Del Vecchio G, et al. Intestinal obstruction by giant Meckel's diverticulum. Case report. G Chir 2011;32:491–4.
Marko Murruste, Geidi Rajaste, Karri Kase. Torsion of Meckel's diverticulum as a cause of small bowelobstruction: A case report. World J Gastrointest Surg 2014;6:204–7.
Tenreiro N, Moreira H, Silva S, et al. Unusual presentation of a Meckel's diverticulum: A case report. Int J Surg Case Rep 2015;16:48–51.
Kiyak G, Ergul E, Sarikaya SM, et al. Axial torsion and gangrene of a giant Meckel’s diverticulum mimicking acute appendicitis. J Pak Med Assoc 2009;59:408–9.
Ding Y, Zhou Y, Ji Z, et al. Laparoscopic management of perforated Meckel’s diverticulum in adults. Int J Med Sci 2012;9:243–7.
Ong MW, Tan KK, Sim R. Laparoscopic resection of a huge gangrenous Meckel's diverticulum in an adult. Singapore Med J 2013;54:83–4.
Papparella A, Nino F, Noviello C, et al. Laparoscopic approach to Meckel's diverticulum. World J Gastroenterol 2014;20:8173–8.
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Nagliati, C., Kular, D., Jain, V.K. et al. Migrating Acute Onset Abdominal Pain: Axial Torsion and Necrosis of a Giant Meckel’s Diverticulum Laparoscopically Resected. Hellenic J Surg 90, 93–95 (2018). https://doi.org/10.1007/s13126-018-0447-1
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DOI: https://doi.org/10.1007/s13126-018-0447-1