Meckel’s Diverticulum Causing Small-Bowel Volvulus in an Elderly Patient: A Case Report

Meckel’s diverticulum (MD) represents a remnant of the embryonic vitelline duct and is recognized as a congenital anomaly of the small intestine. While it is more frequently identified in children, the majority of cases remain clinically silent, with symptomatic presentation in adults being relatively rare. When present, symptoms typically reflect complications, including gastrointestinal hemorrhage, diverticulitis, or intestinal obstruction. The probability of developing complications decreases with advancing age, making clinically significant presentations in elderly individuals uncommon and diagnostically challenging. We present the case of a 72-year-old male with features of small bowel obstruction, in whom intraoperative findings demonstrated a small-bowel volvulus occurring around an MD that functioned as the axis of rotation.

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Publication Details

Journal
Cureus
Published
2026-04-27
DOI
https://doi.org/10.7759/cureus.107792
Primary Topic
Gastrointestinal disorders and treatments
Type
article
Field-Weighted Citation Impact
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article

Meckel’s Diverticulum Causing Small-Bowel Volvulus in an Elderly Patient: A Case Report

Sanura Malinda Pallegoda Vithana, H. L. D. S. Ariyaratne, Nona Shalisha Sallay
Cureus
Gastrointestinal disorders and treatments
article

Meckel’s Diverticulum Causing Small-Bowel Volvulus in an Elderly Patient: A Case Report

Sanura Malinda Pallegoda Vithana, H. L. D. S. Ariyaratne, Nona Shalisha Sallay
article en

Abstract

Meckel’s diverticulum (MD) represents a remnant of the embryonic vitelline duct and is recognized as a congenital anomaly of the small intestine. While it is more frequently identified in children, the majority of cases remain clinically silent, with symptomatic presentation in adults being relatively rare. When present, symptoms typically reflect complications, including gastrointestinal hemorrhage, diverticulitis, or intestinal obstruction. The probability of developing complications decreases with advancing age, making clinically significant presentations in elderly individuals uncommon and diagnostically challenging. We present the case of a 72-year-old male with features of small bowel obstruction, in whom intraoperative findings demonstrated a small-bowel volvulus occurring around an MD that functioned as the axis of rotation.

Cureus
Good health and well-being
Openalex Percentile: Top 5%
Gastrointestinal disorders and treatments
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