Revista chilena de cirugía
versión On-line ISSN 0718-4026
BELTRAN S, MARCELO et al. Meckel's diverticulum volvulus: Report of one case. Rev Chil Cir [online]. 2006, vol.58, n.1, pp. 50-53. ISSN 0718-4026. doi: 10.4067/S0718-40262006000100012.
Meckel's diverticulum has a 2% incidence in the general population. Only 4% to 30% of all patients with Meckel's diverticulum develop complications. Most Meckel's diverticulum complications appear in patients aged 10 years or less. Among these, Meckel's diverticulum volvulus is unusual with a 3% incidence. We report a 64 years old patient with a Meckel's diverticulum volvulus associated with intestinal obstruction and peritonitis. Plain abdominal X rays showed air-fluid levels. An abdominal and pelvic CAT scan showed small bowel loops forming an inflammatory mass and filled with intestinal fluids inside the pelvis. During surgery an inflammatory mass encapsulating a twisted Meckel's diverticulum originating from the terminal ileon was observed. A segmental resection of the diverticulum's base and primary anastomosis in two planes with polyglycolic acid suture, was performed. The patient had an uneventful postoperative period with no complications. The histopathological report did not found heterotopic gastric mucosa or pancreatic tissue in the diverticulum's wall
Palabras clave : Meckel's diverticulum; bowel obstruction; volvulus.