Hernández AV, Jiménez LM, Valdez BDR

Language: Spanish
References: 5
Page: 159-162
PDF size: 253.49 Kb.

ABSTRACT

Background: Intussusception is a rare entity in adults that occurs in 1% of cases with intestinal occlusions. The incidence of intussusception due to Meckel’s diverticulum occurs in 4% of all cases of intestinal obstruction caused by this pathology. This paper describes a rare presentation of intussusception in an adult secondary to Meckel´s diverticulum. Case presentation: A 24 years old male without any important previous disease, presents with a three month history including abdominal pain and intermittent signs of intestinal occlusion. At admission he presented nausea and vomiting without signs of fever. On physical examination the abdomen was tender with pain and a mass on the right quadrant, without signs of acute abdomen. An ultrasound was performed where a bullseye sign was identified and a CT scan confirmed the intussusception. He was taken to the operating room for a laparoscopic exploration where a diverticulum was found, 60 cm from the ileocecal valve. An intestinal resection and primary anastomoses was performed without complications. Conclusion: Meckel’s diverticulum is a pathology difficult to diagnose mainly for its nonspecific clinical presentation. Intussusception although a rare entity it can be the cause of intestinal occlusion in adults, therefore we must consider all possibilities in order to achieve early diagnosis and proper management.

REFERENCES

1. Barussaud M, Regenet N, Briennon X, de Kerviler B, Pessaux P, Kohneh-Sharhi N et al. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study. Int J Colorectal Dis. 2006; 21: 834-839.

2. Ching-Liang L, Chih-Yen C, Sou-Tyau C, Full-Young C, Shou-Dong L. Adult instussuscepted Meckel’s diverticulum presenting mainly lower gastrointestinal bleeding. J Gastroenterol Hepatol. 2001; 16: 478-480.

3. Groebli Y, Bertin D, Morel P. Meckel’s diverticulum in adults: retrospective analysis of 119 cases and historical review. Eur J Surg. 2001; 167: 518-524.

4. Stone PA, Hofeldt MJ, Campbell JE, Vedula G, Deluca JA, Flaherty SK. Meckel diverticulum: ten-year experience in adults. South Med J. 2004; 97: 1038-1041.

5. El-Dhuwaib Y, O’Shea S, Ammori BJ. Laparoscopic reduction of an ileoileal intussusception and resection of an inverted Meckel’s diverticulum in an adult. Surg Endosc. 2003; 17: 1157. Epub 2003 May 6.