Claudia Arias, Nadecha Caro, Paula Rodriguez, Jose Miguel Taveras
Meckel’s diverticulum is a rare gastrointestinal congenital anomaly that is difficult to diagnose and presents with anemia, abdominal pain, or intussusception was described originally by Guilhelmus Fabricius Hildanus in 1598. [1,2] A Meckel’s diverticulum is usually an asymptomatic condition, and many cases are incidentally discovered during a radiographic evaluation or during surgery performed for other reasons. [1] The diagnosis is usually made in childhood. Here, we report the case of a 44-year-old female with a volvulated Meckel’s diverticulum, causing a small bowel obstruction. The patient initiated with profuse diarrhea and vomiting bilious content; then started with abdominal distention and severe abdominal pain, becoming an intestinal obstruction. Later, the patient was surgically intervened; finding a Meckel’s diverticulum volvulated in the intraoperative that was causing the obstruction.
Meckel's diverticulum is rarely diagnosed in adults. It is usually asymptomatic and becomes evident when complicated. [3] Of the few reported cases; intestinal obstruction is the most common presentation in adult and is the second most common in children. [3]