Abstract
We report a case of Meckel's diverticulum with torsion at its neck, resulting in peritonitis. Torsion is a rare complication of Meckel's diverticulum, and a total of 28 cases including ours have been reported in Japan. A 7-year-old boy, who had been operated on for double outlet right venticle and ventricular septal defect at the age of 5 months, was admitted to the hospital because of abdominal pain and vomiting. The entire upper abdomen was board-like and hard. Abdominal CT scan showed a loop which looked like a dilated intestine. Emergency laparotomy was perfomed with a suspicion of strangulation ileus. Meckel's diverticulum, 10cm × 2cm in size, was found on the ileum about 40cm proximal to the Bauhin's valve. It was voluvulated at its base and connected to the navel. Then diverticulectomy was performed. Histopathological studies demonstrated that the epithelium was small intestinal mucosa, showing acute inflammation with hemorrhage, and no ectopic gastric mucosa was present. The postoperative clinical course was uneventual and he was discharged from the hospital on the 9th hospital day. The diagnosis and treatment of Meckel's diverticulum are also discussed.
