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Case Report
Axial torsion of a giant Meckel’s diverticulum
1 MD, General Surgery Resident, Department of Surgery, Sparrow Hospital/Michigan State University College of Human Medicine, Lansing, Michigan, USA
2 Bariatric/ Minimally Invasive Surgeon, Department of Surgery, Sparrow Hospital Lansing, Michigan, USA
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Chibueze Onyemkpa
MD, Department of Surgery, Sparrow Hospital/Michigan State University College of Human Medicine, 1200 E Michigan Avenue, Suite 655, Lansing, MI 48912,
USA
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Article ID: 101192Z01CO2021
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Onyemkpa C, Kuhns B, Murickan T, Drayer C, Obinwanne K. Axial torsion of a giant Meckel’s diverticulum. Int J Case Rep Images 2021;12:101192Z01CO2021.ABSTRACT
Introduction: Meckel’s diverticulum (MD) is an outpouching in the terminal ileum formed due to the persistence of the omphalomesenteric duct. Usually asymptomatic, only about 5% of the cases develop complications such as hemorrhage and perforation. Axial torsion, which occurs when the diverticulum twists around its base, is the rarest complication reported. We report the case of axial torsion of MD which was managed laparoscopically.
Case Report: We discuss the case of a 49-year-old male who presented with 12 hours of sudden right lower quadrant pain, and decreased appetite. As part of his workup, radiographic imaging showed a complex cystic mass in the right lower quadrant but was unable to establish the diagnosis. Due to persistent symptoms, he was emergently taken for a diagnostic laparoscopy which revealed a torsion of a giant MD. The diverticulum was laparoscopically resected and the patient did well postoperatively with resolution of his symptoms.
Conclusion: Torsion is a rare complication of MD. Preoperative diagnosis is challenging and usually necessitates surgical intervention for both confirmation and management. We present a unique case of torsion of a giant diverticulum that was approached and managed using minimally invasive techniques.
Keywords: Axial torsion, Meckel’s diverticulum, Meckel’s diverticulum torsion
SUPPORTING INFORMATION
Author Contributions
Chibueze Onyemkpa - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Benjamin Kuhns - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Thomas Murickan - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Crystal Drayer - Drafting the article, Final approval of the version to be published
Kosisochi Obinwanne - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Chibueze Onyemkpa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
