Meckel's Diverticulum in Its Occlusive Form

Abstract

Meckel's diverticulum is a remnant of the omphalomesenteric duct. This diverticulum can lead to complications such as perforation, inflammation, or intestinal obstruction. We report the case of an 18-year-old female who presented with a febrile subocclusive condition lasting more than 48 hours. She was urgently admitted to the operating room due to worsening clinical and laboratory findings that were unresponsive to standard resuscitation measures. Imaging indicated a small bowel obstruction without signs of bowel ischemia, with prominent air-fluid levels upstream of a non-specific inflammatory disparity zone. During surgery, after meticulous dissection focused on the previously identified disparity zone on imaging, it was concluded that the obstruction occurred upstream of a Meckel's diverticulitis. The surgical procedure involved resection and ileoileal anastomosis. Postoperative recovery was uneventful, with the resumption of liquid diet and bowel movements on the third day. This case will be presented, labeled, and discussed in relation to the existing literature.