Journal of Lumbini Medical College (Dec 2019)

Axial Torsion and Meckel’s Diverticulitis : A Diagnostic Conundrum

  • Suman Baral

Journal volume & issue
Vol. 7, no. 2


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Abstract: Meckel’s Diverticulum is one the most common congenital anomalies of gastrointestinal tract that occurs in about 2 to 4 percent of the population. The clinical presentation mimics that of acute appendicitis, gastroenteritis, peptic ulcer or pelvic inflammatory disease. Various complications related to meckel’s diverticulum can be haemorrhage, intestinal obstruction and perforation while axial torsion is one of the rarest complications. In most of the cases, preoperative diagnosis is often difficult. Radiological investigations include ultrasonography abdomen and CECT abdomen which might reveal features of intussusception along with a cystic avascular tubular structure if there is torsion of the diverticulum. Definitive management includes excision of the diverticulum from the base if the base is narrow whilst wedge resection is warranted for the wide base. Key words: Exploratory Laparotomy, Intussusception, Meckel’s Diverticulum