Meckel's diverticulum leading to axial torsion and volvulus of the small bowel.
Fabian Wehrmann, Niamh Keating, Munir Saeed
✦ AI-curated · Sources linked
Case in brief
A patient presented with small-bowel obstruction caused by a giant Meckel’s diverticulum measuring 22 cm × 11 cm × 9.8 cm. The diverticulum produced mass effect and was associated with axial torsion and volvulus of the small bowel. The patient underwent emergency laparotomy, resection of the affected bowel and primary anastomosis.
What made this case unusual
The diverticulum’s giant size and mass effect were associated with axial torsion and small-bowel volvulus, an unusual complication pattern.
Diagnostic / clinical pearl
Meckel’s diverticulum can present as small-bowel obstruction with volvulus, including when a giant diverticulum causes mass effect.