International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 1, Issue 4 | Case Report | Open Access
Hatim Yahya Uslu*
Department of General Surgery, Tobb Etu University, Turkey
*Correspondence to: Hatim Yahya Uslu
Fulltext PDFThe first description of Meckel’s Diverticulum (MD) goes back to the sixteenth century when firstly described by Fabricus Hildanus. In the seventeenth century Johann Meckel described it’s embryologic and pathologic features. [1,2] It is the most common congenital anomaly of the gastrointestinal tract. It is often found in children and to a lesser extend in adult population. Different incidence of occurrence is reported in different studies, but in common it ranges between 1.4% to2% and only 2% of the affected individuals become symptomatic.[3] Anatomically it is located at anti-mesenteric surface of ileum with an average of 50-60 cm distance from the ileocecal valve.
This congenital entity has often been described by the ‘’rule of twos’’. This rule encounters five descriptions. The first concerns it’s incidence (2%), the second concerns it’s length which is 2 inches in length, the third concerns its location which is 2 feet far from the ileocecal valve, the fourth concerned with the age at which commonly it is seen, which is under the age 2years, and lastly the incidence of gender affection, it affects male twice as often as females. [4-5] The majority of Meckel diverticula are clinically asymptomatic. When MD becomes symptomatic, the patient can present with abdominal pain, gastrointestinal bleeding and intestinal obstruction. The c common known complications that might need urgent surgery can be summarized as bowel obstruction (small intestine), perforation, bleeding and tumour related complication.[6] The there is an even very rare complication known as axial MD torsion. It is almost all the time followed with intestinal obstruction. We present a case of isolated axially torsion of MD without associated intestinal obstruction, which is extremely rare.
Meckel’s Diverticulum; Embryology; Pathology; Tumour
Hatim Yahya Uslu, Semra Doğan.Isolated Axially Torsion of Meckel’s Diverticulum in Adult: A Case Report.Int Clinc Med Case Rep Jour. 2022;1(4):1-6.