Mechanical intestinal occlusion by Meckel's diverticulum in an adult

Abstract

Introduction: The incidence of Meckel's diverticulum in the general population is approximately 1 to 2 % and clinical manifestations are seen in only 20 % of these people. The diagnosis in the remaining 80 % is incidental and is made by surgical findings, reported in approximately 2 % of autopsies. Objective: To describe the clinical presentation and surgical characteristics of mechanical intestinal occlusion by Meckel's diverticulum in the adults. Clinical case: 54-year-old male patient who was attended with a painful abdominal condition and clinical elements of an occlusive syndrome. During surgery, a broad-based Meckel's diverticulum was found as a point of attachment, and small intestine volvulus. A terminal resection and anastomosis was performed in one plane. Postoperative evolution was satisfactory. Conclusions: Mechanical intestinal occlusion secondary to Meckel's diverticulum is a rare cause of occlusive syndrome that must be taken into account in surgical practice.

Keywords

• divertículo de meckel
• oclusión intestinal
• adulto.