DOI: 10.36347/sjmcr.2015.v03i01.016

Pages: 49-51

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.