Torsion and Gangrene of a Giant Meckel's Diverticulum in a Middle-Aged Adult: A Case Report

Meckel's diverticulum is a true outpouching or diverticulum of the small intestine and is an unusual entity in itself. Typically around 2 inches long, it is usually an incidental finding. Symptomatic patients are mostly children. This is a rare case of a 40-year-old adult Indian male presenting with acute abdomen and found to have torsion and gangrene of a giant Meckel's diverticulum at emergency laparotomy. The case report aims to highlight the importance of Meckel's diverticulum and its complications as an important differential of an acute abdomen, with the potential for serious morbidity. It serves as a strong reminder to all surgeons to practice routine bowel mapping during all laparoscopic and open abdominal surgeries.