Inverted Meckel’s Diverticulm Causing intussecepsetion: Case report
Abstract
Meckel's diverticulum is a common congenital anomaly of the gastrointestinal (GI) tract but remains a rare cause of massive GI bleeding, especially in adults. Its presentation can mimic other pathologies, often leading to diagnostic challenges.
We report the case of a 26-year-old male with no comorbidities who presented with a single episode of massive bloody diarrhoea, dizziness, and fainting. On admission, his haemoglobin dropped from 9.9 g/dL to 6.4 g/dL. Initial investigations, including abdominal ultrasound, upper GI endoscopy, and colonoscopy, failed to identify the source of bleeding. Computed tomography (CT) angiography of the abdomen revealed an ileoileal intussusception with a hyperdense lesion at the apex, suspicious for a neuroendocrine or carcinoid tumour.
The patient underwent diagnostic laparoscopy, which confirmed ileoileal intussusception. A mini laparotomy was performed, the affected ileal segment was resected, and ileoileal anastomosis was completed. A prophylactic laparoscopic appendectomy was also conducted. Intraoperatively, the resected ileal segment exhibited a dimpling surface with an intussuscepted mass.
Histopathological examination of the resected segment revealed ectopic pancreatic tissue, leading to a retrospective diagnosis of a bleeding Meckel's diverticulum. This case illustrates the diagnostic challenges of adult intussusception with an atypical lead point. The combination of advanced imaging modalities and surgical intervention was crucial…
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- Improving sleep quality leads to better mental health: A meta-analysis of randomised controlled trials
- Tocilizumab in patients with severe COVID-19: a retrospective cohort study
- A new aging measure captures morbidity and mortality risk across diverse subpopulations from NHANES IV: A cohort study
- Fruit, vegetable, and legume intake, and cardiovascular disease and deaths in 18 countries (PURE): a prospective cohort study
- Are noise and air pollution related to the incidence of dementia? A cohort study in London, England
- Long COVID symptoms and duration in SARS-CoV-2 positive children — a nationwide cohort study
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.