Meckel's Diverticulum and Complications in A 75 Years Old Man: A Case Report

Meckel’s diverticulum (MD) is a congenital outpouching or bulge in the lower part of the small intestine. It is the most common congenital defect of the gastrointestinal tract. MD is usually asymptomatic but when symptomatic, typically presents in childhood. Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal system. It originates from failure of the vitelline duct to obliterate completely, which is usually located on the antimesenteric border of the ileum. Its incidence is between 1% and 3%. Meckel’s diverticulum occurs with equal frequency in both sexes, but symptoms from complications are more common in male patients. Most of the Meckel’s diverticula are discovered incidentally during a surgical procedure performed for other reasons. Hemorrhage, small bowel obstruction, and diverticulitis are the most frequent complications. This case was a 75 years old male with abdominal pain and signs and symptoms of acute appendicitis that in surgery has a complicated Meckel's diverticulum that resected and anastomosis of small intestine was done and discharge with no complication and healthy. In summary, although Meckel’s diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract; it is often difficult to diagnose. The complications of Meckel’s diverticulum should be taken into account in the differential diagnosis of small bowel obstruction. Surgical resection has always been the treatment of choice in symptomatic MD. However, there has been debate about the proper management of asymptomatic MD if incidentally discovered during laparotomy or laparoscopy. Fewer studies discouraged the prophylactic removal of MD.