A Curious Case Report of Meckel’s Diverticulum with Diverticulitis

Abstract Meckel’s diverticulum (MD) is the most common congenital defect found in the gastrointestinal system, occurring in 2%–4% of the population, with a male-to-female ratio of 2:1. In this report, we describe an unusual case of a 4-year-old male who presented with symptoms of abdominal pain, vomiting, and stools resembling red currant jelly. Physical examination revealed diffuse abdominal tenderness, while ultrasonography showed a target sign in the right hypochondrium, indicating intussusception. Diagnostic laparoscopy confirmed ileal loops intussuscepting into the ascending colon, which could not be reduced laparoscopically. A midline laparotomy revealed approximately 30 cm of ileal loops intussuscepting up to the transverse colon, with MD and diverticulitis identified as the lead point. Surgical intervention included resection of the diverticulum, end-to-end ileal anastomosis using the Vertex endo linear cutter stapler, and an appendectomy. Histopathology confirmed follicular lymphocytic hyperplasia in MD with subacute appendicitis. The patient recovered well and was discharged without complications.