Gangrene due to axial torsion of a Giant Meckel's Diverticulum containing multiple stones in the lumen: a case report

Quentin M Nunes,Alex Hotouras,Sandeep Tiwari,Anuradha Sheth

doi:10.1186/1757-1626-2-7141

Abstract

Meckel's diverticulum is the most common congenital anomaly of the small intestine. Common complications related to a Meckel's diverticulum include haemorrhage, intestinal obstruction and inflammation. Gangrene due to axial torsion and enteroliths of a Meckel's diverticulum are the rarest complications that have been reported in the literature. We report a case of gangrene due to axial torsion of giant Meckel's diverticulum with multiple stones in its lumen.

Highlights

Meckel’s diverticulum is the most common congenital anomaly of the small intestine, with a prevalence of approximately 2%
The operating surgeon proceeded to a lower midline laparotomy, which revealed an inflamed, oedematous, antimesenteric diverticulum with a twist around its base and a gangrenous tip
Meckel’s diverticulum is a true diverticulum located in the distal ileum, usually within 60–100 cm of the ileocaecal valve. It is typically 3–5 cm long, runs along the antimesenteric border of the small bowel and has its own blood supply. It is a remnant of the vitellointestinal duct that may occasionally contain heterotopic gastric mucosa [2]

Summary

Case report

Gangrene due to axial torsion of a Giant Meckel’s Diverticulum containing multiple stones in the lumen: a case report Quentin M Nunes1*, Alex Hotouras, Sandeep Tiwari and Anuradha Sheth. Address: 1Department of Surgery, Lincoln County Hospital, Lincoln, UK and 2Department of Histopathology, Lincoln County Hospital, Lincoln, UK.

Introduction

Discussion