Colonic volvulus. A case report

Background Incomplete obliteration of the omphalomesenteric duct causes Meckel's diverticulum, the most common congenital anomaly of the gastrointestinal tract. (1,2,6). It is known as "the disease of the 2", affecting 2% of the general population, located two feet proximal to the ileocecal valve, is twice as common in men, measuring 2 inches long and commonly containing gastric and pancreatic heterotopic tissue. (14) Clinical manifestations occur in 20% of cases (3). During the first few years of life, hemorrhage is the most common clinical presentation in pediatrics. (2). Approximately 80% of cases are discovered incidentally during imaging studies or during surgery. (1, 4). Diverticulitis, intussusception, hemorrhage, perforation, ulceration, herniation, malignancy, volvulation, and occlusion are the most common complications in adults. (1, 2, 9) There are many clinical presentations of Meckel's diverticulum, but volvulation is a rare complication, especially if a flange to the mesentery is also present. (14). Surgical resection is the preferred treatment for symptomatic Meckel's diverticulums, including diverticulectomy, wedge resection, or segmental bowel resection (2). In this case, a 51-year-old female with acute abdominal symptoms was diagnosed with sigmoid colon volvulus with herniation of the mesodiverticular band of a Meckel's diverticulum. In the existing literature, only a few cases similar to this have been described in adult patients. Keywords: Meckel's diverticulum, intestinal occlusion, volvulus, internal hernia, mesodiverticular band