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Gangrenous meckel's diverticulum in a strangulated umbilical hernia in a 42 year-old woman: a case report

Ilker Sengul1*, Demet Sengul2, Serhat Avcu3 and Omer Parlak4

Author Affiliations

1 Department of General Surgery, Giresun University Faculty of Medicine, 28100 Giresun, Turkey

2 Department of Pathology, Prof Dr A Ilhan Ozdemir State Hospital, 28100 Giresun, Turkey

3 Department of Radiology, Yuzuncu Yil University Faculty of Medicine, 65100 Van, Turkey

4 Department of General Surgery, Ankara Ataturk Education and Research Hospital, Ankara, Turkey

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Cases Journal 2010, 3:10 doi:10.1186/1757-1626-3-10

Published: 7 January 2010

Abstract

Introduction

Meckel's diverticulum affects 1 - 3% of general population and is known as the most common anomaly of gastrointestinal tract. However, its estimated lifetime complication rate is approximately 4%. Intestinal obstruction is most common complication of Meckel's diverticulum in adult population.

Case presentation

In the present study, we reported a 42-year-old female patient with a gangrenous Meckel's diverticulum in a strangulated umbilical hernia sac treated by dissection of diverticulomesenteric bands and diverticulectomy. In 36 months follow-up, there was neither any complication nor recurrence of hernia.

Conclusion

This case represents a gangrenous Meckel's diverticulum in a strangulated umbilical hernia sac diagnosed in case of emergency. Although it is a very rare phenomenon, we should be vigilant for this entity especially in case of emergency.