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September 1975

Inversion of Meckel Diverticulum

Author Affiliations

Kfar-Saba, Israel

Arch Surg. 1975;110(9):1154. doi:10.1001/archsurg.1975.01360150098019

To the Editor.—Meckel diverticulum is the most common congenital malformation of the intestinal tract. Surgical resection is indicated for a variety of pathologic complications, which usually manifest themselves in the form of an acute condition of the abdomen. We are reporting one such complication that is exceedingly rare.

A 34-year-old woman complained of abdominal pain for two months. On the day of admission, the pains became severe and the vomiting persistent. Examination showed her to be in shock. A well-delineated, freely mobile mass of approximately 9 cm in diameter was palpable in the right lower abdominal quadrant. The bowel sounds were diminished. A plain abdominal roentgenogram showed the features of small bowel obstruction. Resuscitative measures were instituted in preparation for exploratory laparotomy, but she died five hours after arrival at the hospital.

At autopsy, a 10-cm long segment of the intestine, dark bluish-red and edematous, was found 20 cm