Migrating Acute Onset Abdominal Pain: Axial Torsion and Necrosis of a Giant Meckel’s Diverticulum Laparoscopically Resected.

Autor: Nagliati, Carlo, Kular, Dalvir, Jain, Vigyan K., Balani, Alessandro
Zdroj: Hellenic Journal of Surgery; Mar2018, Vol. 90 Issue 2, p93-95, 3p
Abstrakt: Background: Torsion is a rare complication of Meckel’s diverticulum. The case is reported of migrating, acute-onset abdominal pain due to axial torsion and necrosis of a Meckel’s diverticulum, diagnosed and treated laparoscopically.Methods: A 45-year-old woman presented with left upper quadrant abdominal tenderness and leukocytosis. On the following day, the tenderness had shifted to the right lower quadrant and was accompanied by rebound tenderness. Diagnostic laparoscopy revealed a twisted and necrotic giant Meckel’s diverticulum, which was completely laparoscopically managed.Results: The patient had an uneventful enhanced recovery. The laparoscopic approach avoided unnecessary scans and led to the easy diagnosis and surgical treatment without complications.Conclusions: Migrating, acute-onset non-specific abdominal pain may be due to a complication of a Meckel’s diverticulum, as in this case of torsion and necrosis. [ABSTRACT FROM AUTHOR]
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