The uncommon complications of Meckel's diverticulum: A single center case series study and literature review

Introduction and importance

Meckel's diverticulum is the most common congenital true diverticula of the gastrointestinal tract with 4–9% life time risk of complications. It is difficult to diagnose preoperatively other than having high index of suspicion. Therefore, the aim of this case series is to present the rare presentation of this disease and create awareness for clinician to deliver early intervention so that associated mortality and morbidity will be minimized.

Case presentation

Here we present four cases of Meckel's diverticulum managed in single center during a period of one year. Two cases were presented as isolated gangrenous Meckel's diverticulum with small bowel obstruction. The remaining two were: an adult male patient operated for generalized peritonitis as a result of perforated Meckel's diverticulitis and a child with intussusception in which Meckel's diverticulum was secondarily obstructed.

Clinical discussion

The less frequent complications of Meckel's diverticulum are more challenging to diagnose. It carries higher rate of morbidities since early diagnosis is difficult; especially, isolated axial torsion of the Meckel's diverticulum that we are presenting in this case series. Therefore it is prudent to consider for a pain originating from central abdomen which gets diffuse in the meantime unlike symptoms of complicated appendicitis as symptomatic Meckel's diverticulum.

Conclusion

The rare complications of Meckel's diverticulum need high index of suspicion to diagnose as their symptoms mimic other pathologies which cause diffuse abdominal pain. Timely intervention can prevent hospital mortality, morbidity and decrease duration of hospital stay.