Cecal Volvulus Caused by an Omphalo-Mesenteric Band: A Case Report of a Rare Complication of Meckel’s Diverticulum

Introduction: Partial or complete developmental failure to close and absorb the omphalo-mesenteric duct results in a variety of congenital anomalies, Meckel’s Diverticulum (MD) with or without omphalo-mesenteric band being the most common. The Cecal volvulus (CV) caused by MD is extremely rare and only few case reports have been reported so far.

Case Summary: In this case report, a case of 40-years-old female patient with features of small bowel obstruction is reported. The patient subsequently diagnosed to have “Meckel’s Diverticulum” and “Loop Type of Cecal Volvulus” with ischemic changes involving cecum, Meckel’s diverticulum, and ascending colon on computed tomography of abdomen performed in emergency.

Conclusion: MD is often overlooked, and the patient usually presents with complications, appropriate knowledge of various pathophysiology of complications must be kept in mind for a prompt and effective management.

i. The volvulus caused by Meckel’s Diverticulum is extremely rare but not unheard and the patient usually presents with the features of intestinal obstruction.

ii. As the diagnosis of Meckel’s Diverticulum is often overlooked and the patient usually presents with complications, appropriate knowledge of various pathophysiology of complications must be kept in mind for a prompt and effective management.

Keywords: Cecal Volvulus; Meckel’s Diverticulum; Intestinal Obstruction; Omphalo-Mesenteric Duct Anomalies

Abbreviations: MD-Meckel’s Diverticulum; CV- Cecal Volvulus; CT-Computed Tomography