An Atypical Case of Meckel’s Diverticulum with Small Bowel Obstruction: Surgical Anatomy, Embryology and Clinical Implications: doi: 10.7417/CT.2023.2507

Abstract

Meckel's diverticulum (MD) is the most frequent congenital anomaly of the gastrointestinal (GI) tract. Atypical presentations with life threatening complications include intestinal obstruction, intussusceptions, peritonitis, foreign body lodgement in the MD, perforated viscera etc. which require prompt diagnosis. Ectopic gastric and pancreatic tissues are found in up to half of the cases which can escalate the complications. However clinical diagnosis is not easy especially when the presentation is atypical. A high index of clinical suspicion is required to diagnose elusive MD with associated complications. Surgical resection is safe and the gold standard treatment of choice of complicated MD. We present here a case of Meckel's diverticulum in a 13 years old male child presenting as intestinal obstruction which is complicated further with a concomitant mesodiverticular band (MDB). The aim of this report is to aware clinicians about this rare variety of complicated MD with MDB clinically presenting as small bowel obstruction.