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Inverted Meckel diverticulum as a lead-point of ileo-ileal double intussusception: A case report

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Inverted Meckel diverticulum as a lead-point of ileo-ileal double intussusception: A case report

Slobodan Radmilovic ,
Slobodan Radmilovic

Department of General Surgery, University Clinical Hospital Center Zemun , Belgrade , Serbia

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Branko Lukic ,
Branko Lukic
Contact Branko Lukic

Department of General Surgery, University Clinical Hospital Center Zemun , Belgrade , Serbia

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Nemanja Jovanovic ,
Nemanja Jovanovic

Department of General Surgery, University Clinical Hospital Center Zemun , Belgrade , Serbia

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Nikola Djukic ,
Nikola Djukic

Department of Gastroenterology, University Clinical Hospital Center Zemun , Belgrade , Serbia

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Ivana Blazic ,
Ivana Blazic

Department of Radiology, University Clinical Hospital Center Zemun , Belgrade , Serbia

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Lidija Prijic Plecevic ,
Lidija Prijic Plecevic

Department of Clinical Pathology, University Clinical Hospital Center Zemun , Belgrade , Serbia

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Dejan Stevanovic
Dejan Stevanovic

Department of General Surgery, University Clinical Hospital Center Zemun , Belgrade , Serbia

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Published: 01.05.2019.

Volume 35, Issue 2 (2019)

Abstract

Adult intussusception caused by inverted Meckel diverticulum is infrequent but important clinical entity, presenting with nonspecific symptoms. It may be observed in any age. We report a 26-year-old male patient with intussusception, who was examined several times for abdominal pain accompanied with nausea and vomiting. Basic diagnostics were inconclusive, so the patient was discharged each time with conservative therapy. After the last episode, CT scan showed suspicious intussusception, so the patient was admitted to general surgery ward. The next day there was a complete regression of all difficulties, and he was free of them in the month ahead. Finally, NMR enterography verified the presence of intussusception, and the operative procedure was performed. At laparotomy, ileo-ileal double intussusception was observed and the affected segment was resected with T-T anastomosis. Histopathological examination demonstrated an inverted Meckel diverticulum, measuring 8cm, with ectopic gastric antral type mucosa and ectopic pancreatic tissue. Postoperatively, the patient made an uneventful recovery.

Keywords

Meckel diverticulum,

ileo-ileal double intussusception,

Inverted Meckel diverticulum

References

1.
Soltero MJ, Bill AH. The natural history of Meckel’s Diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel’s Diverticulum found in King County, Washington, over a fifteen year period. Am J Surg. 132(2):168–73.
2.
Steinwald PM, Trachiotis GD, Tannebaum IR. Intussusception in an adult secondary to an inverted Meckel’s diverticulum. Am Surg. 62(11):889–94.
3.
Thurley PD, Halliday KE, Somers JM, Al-Daraji WI, Ilyas M, Broderick NJ. Radiological features of Meckel’s diverticulum and its complications. Clinical Radiology. 64:109–18.
4.
Duijff JW, Burg BLS, Aarts NJM, Loyson SAJ, Guicherit OR. Intussusception in Adults: Report of Four Cases and Review of the Literature. Case Rep Gastroenterol. 1(1):59–64.
5.
Sioka E. Inverted Meckel’s diverticulum manifested as adult intussusception: Age does not matter. World J Gastrointest Surg. 3(8).
6.
Matsagas MI, Fatouros M, Koulouras B, Giannoukas AD. Incidence, complications, and management of Meckel’s diverticulum. Arch Surg. 130(2):143–6.
7.
Leijonmarck CE, Bonman-Sandelin K, Frisell J, Räf L. Meckel’s diverticulum in the adult. Br J Surg. 73(2):146–9.
8.
Rubesin SE, Herlinger H, Gaeta L. Test your skills. Inverted Meckel diverticulum with intussusception. Radiology. 176(3):636–44.
9.
Dujardin M, Beeck B, Osteaux M. Inverted Meckel’s diverticulum as a leading point for ileo-ileal intussusception in an adult: Case report. Abdom Imaging. 27(5):563–5.
10.
Amin MU, Siddiqui MK, Mahmood R. Inverted Meckel’s diverticulum causing intussusception in an adult. J Coll Physicians Surg Pak. 18(9):574–5.
11.
Banli O, Karakoyun R, Altun H. Ileo-Ileal Intussusception due to inverted Meckel’s diverticulum. Acta Chir Belg. 109(4):516–8.
12.
Blakeborough A, McWilliams RG, Raja U, Robinson PJA, Reynolds JV, Chapman AH. Pseudolipoma of inverted Meckel’s diverticulum: Clinical, radiological and pathological correlation. Eur Radiol. 7(6):900–4.
13.
Azar T, Berger DL. Adult intussusception. In: Annals of Surgery. p. 134–8.
14.
Yigiter M, Kiyici H, Yucesan S, Hicsonmez A. An unusual cause of acute abdominal pain in a child: An inverted Meckel diverticulum: Report of a case. J Clin Ultrasound. 38(6):314–6.
15.
Chew FS, Zambuto DA. Meckel’s diverticulum. American Journal of Roentgenology. 982:1–7.
16.
Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. Am J Surg. 173(2):10 1016 0002-9610 96 00419-9.
17.
Haas EM, Etter EL, Ellis S, Taylor TV. Adult intussusception. Am J Surg. 186(1):75–6.
18.
Yalamarthi S, Smith RC. Adult intussusception: Case reports and review of literature. Postgraduate Medical Journal. 81:174–7.
19.
Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, et al. Intussusception of the bowel in adults: A review. World Journal of Gastroenterology. 2009;15(4):407.
20.
Waseem M, Intussusception RHK. Pediatric Emergency Care. 24:793–800.
21.
Agha F. Intussusception in adults. Am J Roentgenol. 146(3):527–31.
22.
Nagorney DM, Sarr MG, McIlrath DC. Surgical management of intussusception in the adult. Ann Surg. 193(2):230–6.
23.
Weilbaecher D, Bolin JA, Hearn D, Ogden W. Intussusception in adults. Review of 160 cases. The American Journal of Surgery. 121:531–5.
24.
Martín-Lorenzo JG, Torralba-Martinez A, Lirón-Ruiz R, Flores-Pastor B, Miguel-Perelló J, Aguilar-Jimenez J, et al. Intestinal invagination in adults: Preoperative diagnosis and management. Int J Colorectal Dis. 19(1):68–72.

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