title: Intussusception of the Meckel's diverticulum within its own lumen: Unknown complication.
abstract: BACKGROUND
  Intussusception with the Meckel's diverticulum (MD) is a rare cause of chonic abdominal pain in the adults. We wish to present this first case of intussusception of MD within its own lumen without small bowel obstruction.
  
  
  METHODS
  We report the case of a 27-year-old man who was admitted to the emergency room due to a diffuse abdominal pain. Abdominal CT scan showed invagination of MD. The exploratory laparoscopy revealed the presence of intussusception of MD within its own lumen. Segmental resection of the small intestine was performed. The patient was discharged on the third post-operative day.
  
  
  CONCLUSIONS
  The prevalence of MD is 1 to 4%. Diagnosis is often difficult and delayed because clinical symptoms are not specific and the diagnosis is performed mainly by imaging studies. Factors pre-disposing these patients to intussusception of MD within its own lumen include a narrow diverticulum, large diverticululm, and associated inflammation of the diverticulum. Intestinal obstruction is a more common complication in adults, whereas in children, bleeding is the more common complication. In our case, the patient had a diffuse abdominal pain without small bowel obstruction because the intussusception of MD was within its own lumen. Laparoscopy may be useful for confirming the presence of intussusception, and demonstrating the underlying organic lesion serving as the lead point.
  
  
  CONCLUSIONS
  It is important to differentiate this rare pathological feature of MD from other entities as the treatment is surgical rather than medical. Abdominal surgeons should bear in mind this rare entity.
authors.affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Saint Étienne, France. Electronic address: Radwankassir42@hotmail.Fr.
authors.forename: Radwan
authors.initials: R
authors.lastname: Kassir
authors.affiliation: Department of General Surgery, CHU Hospital Archet 2, Nice, France.
authors.forename: Tark
authors.initials: T
authors.lastname: Debs
authors.affiliation: Department of Radiology, CHU Hospital, Jean Monnet University, Saint Etienne, France.
authors.forename: Claire
authors.initials: C
authors.lastname: Boutet
authors.affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Saint Étienne, France.
authors.forename: Sylviane
authors.initials: S
authors.lastname: Baccot
authors.affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Saint Étienne, France.
authors.forename: Karine
authors.initials: K
authors.lastname: Abboud
authors.affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Saint Étienne, France.
authors.forename: Joëlle
authors.initials: J
authors.lastname: Dubois
authors.affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Saint Étienne, France.
authors.forename: Alexia Boueil
authors.initials: AB
authors.lastname: Bourlier
authors.affiliation: Department of Pathology, CHU Hospital, Jean Monnet University, Saint Etienne, France.
authors.forename: Violaine
authors.initials: V
authors.lastname: Yvorel
authors.affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Saint Étienne, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Tiffet
keywords: Acute abdomen; Diverticulitis; Hemorrhage; Intussusception; Laparoscopic; Meckel’s diverticulum
references.citation: Radiology. 1973 Feb;106(2):295-8
references.pmid: 4539713
references.citation: Surgery. 1972 Feb;71(2):313
references.pmid: 5057846
references.citation: Am J Emerg Med. 1988 Mar;6(2):137-42
references.pmid: 3281683
references.citation: World J Gastroenterol. 2009 Oct 28;15(40):5109-11
references.pmid: 19860008
references.citation: Semin Nucl Med. 1972 Oct;2(4):383-6
references.pmid: 4644116
references.citation: Ann Surg. 1978 Feb;187(2):189-93
references.pmid: 629620
references.citation: Ann Surg. 1997 Aug;226(2):134-8
references.pmid: 9296505
references.citation: Saudi J Gastroenterol. 2010 Jan-Mar;16(1):3-7
references.pmid: 20065566
references.citation: J Gastrointestin Liver Dis. 2006 Mar;15(1):67-8
references.pmid: 16680236
references.citation: Ann Emerg Med. 1987 Jul;16(7):811-2
references.pmid: 3592339