For citation purposes: Singhal BM, Kaval S, Sagar S, Kumar V. Ileoileal intussusception due to Meckel?s diverticulum: An uncommon aetiology. OA Surgery 2013 Nov 01;1(1):2.

Case report

 
Lower GI Surgery

Ileoileal intussusception due to Meckel’s diverticulum: an uncommon aetiology

BM Singhal, S Kaval, S Sagar, V Kumar
 

Authors affiliations

Post Graduate Department of Surgery, L.L.R.M. Medical College, Meerut 250004, Uttar Pradesh, India

* Corresponding author Email: singhalbm@gmail.com

Abstract

Introduction

Intussusception is a major cause of acute intestinal obstruction in children. Most cases of intussusception (90%) are considered idiopathic and only about 6% of cases have a pathological lead point. Majority of the paediatric cases (95%) are ileocolic type and (MD) is considered a rare cause.

Case Report

We are presenting an unusual case of ileoileal intussusception due to inverted Meckel’s diverticulum in an 18-month-old male child.

Discussion

The classic clinical triad of intussusception is colicky abdominal pain, vomiting and bloody (red currant jelly) stools; however, it is found in only 20% of patients. Contrast enema has diagnostic as well as significant therapeutic value, having reduction rate of intussusception between 70% and 90%. Surgical intervention is indicated if intussusception is not reduced by an enema or if features of bowel ischaemia, perforation, shock and peritonitis are evident. Delay in seeking medical advice or delay in diagnosis may lead to ischaemic necrosis and perforation of involved bowel.

Conclusion

Meckel’s diverticulum may act as a lead point lesion for childhood intussusceptions. Delay in seeking medical advice or delay in diagnosis may lead to ischaemic necrosis and perforation of the involved bowel.

Licensee OA Publishing London 2013. Creative Commons Attribution License (CC-BY)
Keywords