Department of General Surgery, Masselli-Mascia Hospital, 71016 San Severo, Italy.
World J Gastrointest Surg. 2011 Jul 27;3(7):106-9. doi: 10.4240/wjgs.v3.i7.106.
Meckel's diverticulum (MD) is considered the most prevalent congenital anomaly of the gastrointestinal tract. It may result in a number of complications including hemorrhage, obstruction, and inflammation. Obstruction of various types is the most common presenting symptom in the adult population. Loop formations with the end of an MD and adjacent mesentery constricting the distal ileum is an uncommon cause of obstruction. Axial torsion and gangrene of MD is the rarest of the complications. The correct diagnosis of complicated MD before surgery is often difficult because this condition may mimic other acute abdominal pathologies. Delay in the diagnosis of a complicated MD can lead to significant morbidity and mortality. Here we describe the case of a patient with a very rare form of acute small bowel obstruction secondary to giant torsed gangrenous MD encircling the terminal ileum. To our knowledge, this co-occurrence of axial torsion and a loop-forming mechanism of obstruction has been reported only once in English medical literature.
梅克尔憩室（MD）被认为是胃肠道最常见的先天性异常。它可能导致多种并发症，包括出血、梗阻和炎症。梗阻是成人最常见的表现症状。MD 的末端与邻近肠系膜的环形成，并压迫回肠末端，是梗阻的一个不常见原因。MD 的轴扭转和坏疽是最罕见的并发症。在手术前正确诊断复杂的 MD 往往很困难，因为这种情况可能模仿其他急性腹部病理。复杂的 MD 诊断延迟可导致显著的发病率和死亡率。在这里，我们描述了一例非常罕见的急性小肠梗阻病例，其原因为巨大扭转性坏疽性 MD 环绕回肠末端。据我们所知，这种轴扭转和环形成梗阻机制的同时发生仅在一次英文医学文献中报道过。
