消化器病学における研究とレポート

Inverted Meckels Diverticulum as the cause of Intussusception in Adults

Shenouda M, Reid J, DeRogatis MJ, Gaspard S and Hinika G

We present the case of a 20 year old female with acute, worsening cramp-like abdominal pain. Computed tomography (CT) of the abdomen and pelvis with intravenous contrast demonstrated a long segment of ileoileal intussusception and a separate, shorter and more distal ileoileal intussusception. Surgical treatment with exploratory laparotomy and pathological examination of the resected ileal segment showed ileal intussusception with telescoping Meckel’s diverticulum. The lead point of intussusception was a lipomatous lesion of heterotopic gastric tissue. Although Meckel’s diverticulum is a known cause of intussusception, it rarely presents in the 2nd decade of life.