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Scholars Journal of Medical Case Reports | Volume-3 | Issue-01
A Case Report of Rare Cause of Intestinal Obstruction with Mobile Caecum with Caecal Volvulus and Meckel’s Diverticulum
Umeshchandra DG, Suresh Patil, Rammohan S, Ankur Bhatia
Published: Jan. 30, 2015 |
122
98
DOI: 10.36347/sjmcr.2015.v03i01.016
Pages: 49-51
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Abstract
Abnormal mobility of the caecum and ascending colon occurs in 10-20% of population. Despite it abnormal
caecal mobility and ascending colon is an uncommon cause of an acute clinical entity. A Meckel's diverticulum, is a
true congenital diverticulum present at birth and a vestigial remnant of the omphalomesenteric duct. We report a 12year
old boy in this case report who presented with acute features of intestinal obstruction with abdominal radiogram showing
dilated bowel loops and ultrasonogram showing midgut volvulus and emergency laparotomy was performed and mobile
caecum with meckel’s diverticulum with caecal volvulus was ascertained; meckel’s diverticulectomy was done and
caecal volvulus was corrected and mobile caecum was fixed to peritoneum on right side. On account of high morbidity
and mortality associated with caecal volvulus and difficult preoperative diagnosis, emergency laparotomy is essential in
these conditions for favourable outcome. Moreover in this case Meckel’s diverticulum was also present which commonly
presents as intestinal obstruction in younger age group and therby adding to risk of complications associated with mobile
caecum.