Bowel obstruction secondary to intussusception due to double Meckel's diverticulum in an adult. A case report

Background

Meckel's diverticulum (MD) is a normal variant in 2% of the population, it contains all the layers of the small intestine and is considered a true diverticulum. One of the most frequent complications in adults is obstruction secondary to intussusception of Meckel's diverticulum towards the ileum. We present the case of a 52-year-old man with severe abdominal pain, nausea, and vomiting, which did not respond to conservative management. Imaging studies compatible with bowel obstruction, identifying the transition zone at the ileum level. An exploratory laparotomy was performed ruling an intussusception due to a diverticulum, an intestinal resection was performed. The histopathological study revealed a double Meckel's diverticulum. In adults with symptomatic MD, this represents a challenge in early diagnosis and immediate surgical treatment. Intestinal intussusception in adults secondary to Meckel's diverticulum is rare and should be considered in the differential diagnosis of those with abdominal pain and bowel obstruction.

Keywords: Intussusception, Meckel's diverticulum, bowel obstruction