| Popis: |
Introduction: Meckel’s diverticulum (MD) is an outpouching in the terminal ileum formed due to the persistence of the omphalomesenteric duct. Usually asymptomatic, only about 5% of the cases develop complications such as hemorrhage and perforation. Axial torsion, which occurs when the diverticulum twists around its base, is the rarest complication reported. We report the case of axial torsion of MD which was managed laparoscopically. Case Report: We discuss the case of a 49-year-old male who presented with 12 hours of sudden right lower quadrant pain, and decreased appetite. As part of his workup, radiographic imaging showed a complex cystic mass in the right lower quadrant but was unable to establish the diagnosis. Due to persistent symptoms, he was emergently taken for a diagnostic laparoscopy which revealed a torsion of a giant MD. The diverticulum was laparoscopically resected and the patient did well postoperatively with resolution of his symptoms. Conclusion: Torsion is a rare complication of MD. Preoperative diagnosis is challenging and usually necessitates surgical intervention for both confirmation and management. We present a unique case of torsion of a giant diverticulum that was approached and managed using minimally invasive techniques. |
