Surgically inverting an incidentally detected Meckel's diverticulum - Wrong method.

INTRODUCTION

Intusussception leading to intestinal obstruction is a known complication of Meckel's diverticulum. Inverting of Meckel's acts as a lead point for intussusception. Causes of inversion are many but surgical inversion leading to intusussception is extremely rare.

PRESENTATION OF CASE: We hereby report a case of a 14 year adolescent boy operated previously for open appendicetomy presenting to us with intestinal obstruction who on exploration was found to have an surgically inverted Meckel's diverticulum acting as a lead point for ileo-colic intusussception.

DISCUSSION: To the best of our knowledge, surgically inverting any Meckel's diverticulum is never a treatment option even when the diverticulum is incidentally detected. Diverticulectomy or segmental resection is the procedure of choice for Meckel's diverticulum.

CONCLUSION

Meckel's divereticulum should never be inverted surgically. Not only it is a wrong method but also increases the risk of complications.