Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : September | Volume : 11 | Issue : 9 | Page : PD05 - PD06

Axial Torsion of Meckelís Diverticulum: A Rare Case Report

Sandesh Vithal Parab, Pramod Govindrao Salve, Aruna Dahiphale, Rupesh Thakare, Amit Aiwale

1. Resident, Department of General Surgery, SRTR Government Medical College, Ambajogai, Mumbai, Maharashtra, India. 2. Assistant Professor, Department of General Surgery, SRTR Government Medical College, Ambajogai, Mumbai, Maharashtra, India. 3. Resident, Department of General Surgery, SRTR Government Medical College, Ambajogai, Mumbai, Maharashtra, India. 4. Resident, Department of General Surgery, SRTR Government Medical College, Ambajogai, Mumbai, Maharashtra, India. 5. Resident, Department of General Surgery, SRTR Government Medical College, Ambajogai, Mumbai, Maharashtra, India.

Correspondence Address :
Dr. Sandesh Vithal Parab,
D/606, Sai Asha CHS, Gavanpada, Mulund East, Mumbai-400081, Maharashtra, India.
E-mail: sandy17187@yahoo.co.in

Abstract

Meckel's Diverticulum (MD) is the most common congenital anomaly of gastrointestinal tract, occurring in 2% of the population. It is a true diverticulum and histologically all four intestinal layers are present within MD. There are various complications related to a Meckelís diverticulum, including haemorrhage, intestinal obstruction, inflammation and perforation. Axial torsion followed by gangrene of MD is the rarest of the complications that have been reported. The exact mechanism for torsion is unclear. Preoperative diagnosis of torsion of MD is difficult and often confused with appendicitis as pain is usually localized to right lower quadrant. Radiological investigations do not provide much help in diagnosis. We report a case of axial torsion of MD presenting as acute abdomen in an 11-year-old female patient. The diagnostic laparoscopy was performed. Confirmatory diagnosis and further surgical management was done by exploratory laparotomy under general anaesthesia.

Keywords

Acute abdomen, Exploratory laparotomy, Intestinal obstruction

How to cite this article :

Sandesh Vithal Parab, Pramod Govindrao Salve, Aruna Dahiphale, Rupesh Thakare, Amit Aiwale. AXIAL TORSION OF MECKELíS DIVERTICULUM: A RARE CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2017 September [cited: 2018 Jan 22 ]; 11:PD05-PD06. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=September&volume=11&issue=9&page=PD05-PD06&id=10580

DOI and Others

DOI: 10.7860/JCDR/2017/28613.10580

Date of Submission: Mar 27, 2017
Date of Peer Review: May 04, 2017
Date of Acceptance: Jul 01, 2017
Date of Publishing: Sep 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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