title: [Unusual clinical picture of Meckel's diverticulum intussusception in 19-year-old man - a case report].
abstract: Meckel diverticulum is the most common congenital defect of samll intestine. In most cases it remains asymptomatic, however in some patients it may be the cause of many nonspecific signs and symptoms. In this paper we would like to present a case of intestinal obstruction caused by Meckel diverticulum intussusception in the ileum in 19- year-old patient. The patient complaint of dull abdominal pain which have been subsiding for hours and vomiting. Results of laboratory test were within normal limits. Abdomian X-ray suggested mechanic obstruction of small intestine. Patient was qualified for urgent surgery. During the operation intussusception of 10 cm of small intestine was found. The leading point of intussusception was long Meckel diverticulum with single, small connection with omentum. The authors wish to note that in the differential diagnosis of non-specific, recurrent pain and mechanical small bowel obstruction, regardless of age, the presence of Meckel diverticulum should always be taken into consideration.
authors.affiliation: Medical University of Wroclaw, Poland: Studenct's Scientific Group of the I Department of General Surgery, Gastroenterology and Endocrinology.
authors.forename: Michał
authors.initials: M
authors.lastname: Lubszczyk
authors.affiliation: Medical University of Wroclaw, Poland: I Department of General Surgery, Gastroenterology and Endocrinology.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Kaliszewski
authors.affiliation: Medical University of Wroclaw, Poland: Studenct's Scientific Group of the I Department of General Surgery, Gastroenterology and Endocrinology.
authors.forename: Marta
authors.initials: M
authors.lastname: Strutyńska-Karpińska
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging* / Q000601:surgery; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D055815:Young Adult
keywords: Meckel diverticulum; abdominal pain; inflammatory bowel diseases