Small bowel intussusception with the Meckel's diverticulum after blunt abdominal trauma: a case report

El Bachir Benjelloun,Khalid Taleb,Karim Ibnmajdoub,Abdelmalek Ousadden,Khalid Mazaz

doi:10.1186/1749-7922-4-18

El Bachir Benjelloun, Khalid Taleb + Show 3 more

Open Access

https://doi.org/10.1186/1749-7922-4-18

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Abstract

Intussusception with the Meckel's diverticulum is a rare but well-known cause of small bowel obstruction in the adult. After blunt abdominal trauma, intussusception is exceedingly rare and has been reported previously only in few cases. We present a case of a previously healthy 28-year-old man developing four days after blunt abdominal trauma signs of small bowel obstruction. Ileo-ileal intussusception was suggested by computed tomography. Exploration revealed ileo-ileal intussusception with Meckel's diverticulum. A diverticulectomy with small bowel resection was performed.

Highlights

Intususception is invagination of a proximal segment of bowel into the lumen of the adjacent distal segment
We present a case of 28-year previously healthy man presenting with abdominal pain and vomiting after blunt abdominal trauma, and developing four days later signs of small bowel obstruction as a cause of ileoileal intussusception with the Meckel's diverticulum
Diagnosis of hemoperitoneum was made, but with stability of vital signs, little abdominal tenderness, no signs of evident small bowel obstruction, and normal value of blood cell count, the patient was admitted in the surgery department for observation

Summary

Introduction

Intususception is invagination of a proximal segment of bowel (intussusceptum) into the lumen of the adjacent distal segment (intussuscipiens). We present a case of 28-year previously healthy man presenting with abdominal pain and vomiting after blunt abdominal trauma, and developing four days later signs of small bowel obstruction as a cause of ileoileal intussusception with the Meckel's diverticulum. Diagnosis of hemoperitoneum was made, but with stability of vital signs, little abdominal tenderness, no signs of evident small bowel obstruction, and normal value of blood cell count, the patient was admitted in the surgery department for observation. During his hospital course his abdomen remained a little distended, with mild lower quadrant pain that was well controlled with analgesic pain medications. The pathological examination of the resected specimen showed a Meckel's diverticulum (3.5 cm in length) on the antimesenteric border with heterotrophic gastric mucosa

Discussion

Findings

Agha FP