BEYOND THE NORM : A CASE SERIES OF MECKELS'S DIVERTICULAM CAUSING INTESTINAL OBSTRUCTION IN THREE DIFFERENT WAYS

Authors

  • Arif Ullah Khan Ayub Teaching Hospital, Abbottabad-Pakistan
  • Rao Erbaz Hassan Ayub Teaching Hospital, Abbottabad-Pakistan
  • Omar Khan Ayub Teaching Hospital, Abbottabad-Pakistan
  • Muhammad Umar Khan Ghauri Shaukat Khanum Memorial Cancer Hospital Peshawar-Pakistan
  • Mashaim Fatima Ayub Teaching Hospital, Abbottabad-Pakistan
  • M Huzaifa Aurangzeb Mughal Abbottabad International Medical College Abbottabad-Pakistan
  • Abdul Moiz Khan Ayub Medical College, Abbottabad-Pakistan
  • Faiza Dawood Khan Ayub Teaching Hospital, Abbottabad-Pakistan

DOI:

https://doi.org/10.55519/JAMC-S4-12833

Keywords:

This Study is conducted in Ayub Teaching Hospital

Abstract

Intestinal obstruction, a critical medical emergency, often attributed to factors like postoperative adhesions, hernias, rarely involves congenital anomalies such as Meckel's diverticulum. Despite its typical asymptomatic nature, Meckel's diverticulum can present challenges, including painless bleeding, and remains an uncommon but perplexing cause of acute intestinal obstruction in adults. This case series describes three unique instances of acute small intestinal obstruction attributed to Meckel's diverticulum, a congenital anomaly that is typically asymptomatic. In contrast to its usual manifestations of painless bleeding or diverticulitis, these cases presented with acute symptoms requiring surgical intervention. The first case involved a young child with a Meckel's diverticulum causing small intestinal obstruction through a narrow based diverticulum with an obstructing stricture. The second case featured a patient with a Meckel's diverticulum causing intestinal obstruction via meso-diverticular band, while the third case involved an eight-year-old with a diverticulum contributing to intussusception. Surgical exploration revealed these uncommon presentations, highlighting the importance of considering rare anatomical variations in the diagnosis and management of intestinal obstruction. This atypical manifestation of Meckel's diverticulum underscores the necessity for timely surgical intervention to address unique presentations not conforming to the usual clinical patterns.

References

1. Williams N, Bulstrode C, Connell PB (eds) Bailey & Love’s short practice of surgery. Boca Raton, FL: CRC Press, 2008; p.1211.

2. Javid J, MD P, Pauli M, MD E. UpToDate. Uptodate.com 2022. [Internet]. [cited 2022 March 2]. Available from: https://www.uptodate.com/contents/meckels-diverticulum

3. Wong CS, Dupley L, Varia HN. Golka D, Linn T. Meckel's diverticulitis: a rare entity of Meckel's diverticulum. J Surg Case Rep 2017;2017(1):rjw225.

4. Almas T, Alsubai AK, Ahmed D, Ullah M, Murad MF, Ab-dulkarim K, et al. Meckel's diverticulum causing acute intes-tinal obstruction: a case report and comprehensive review of the literature. Ann Med Surg (Lond) 2022;78:103734.

5. Tenreiro N, Moreira H, Silva S, Madureira L, Gaspar J, Oliveira A. Unusual presentation of a Meckel's diverticu-lum: a case report. Int J Surg Case Rep 2015;16:48–51.

6. Newme K, Hajong R, Khongwar D. Meckel's diverticulum causing acute intestinal obstruction: Report of two cases. J Family Med Prim Care 2020;9(8):4409–11.

7. Bhattarai HB, Bhattarai M, Shah S, Singh A, Yadav SK, Yadav BK, et al. Meckel's diverticulum causing acute intes-tinal obstruction: A case series. Clin Case Rep 2022;10(11):e6518.

8. Hansen C, Søreide K. Systematic review of epidemiology, presentation, and management of Meckel’s diverticulum in the 21st century. Medicine (Baltimore) 2018;97(35):e12154.

9. Bayissa B, Yahya A. The uncommon complications of Meckel’s diverticulum: A single center case series study and literature review. Int J Surg 2023;54:100613.

Published

2025-06-30

How to Cite

1.
Khan AU, Rao Erbaz Hassan, Khan O, Muhammad Umar Khan Ghauri, Mashaim Fatima, M Huzaifa Aurangzeb Mughal, et al. BEYOND THE NORM : A CASE SERIES OF MECKELS’S DIVERTICULAM CAUSING INTESTINAL OBSTRUCTION IN THREE DIFFERENT WAYS. J Ayub Med Coll Abbottabad [Internet]. 2025 Jun. 30 [cited 2025 Jul. 17];36(4 (Suppl 1). Available from: https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/12833