Wide Mouthed Meckel’s Diverticulum in Adult: A Case Report

Introduction: Meckel’s diverticulum (MD) is the most common congenital malformation of the gastrointestinal tract. Intestinal obstruction is the leading presenting symptom in the adult population due to multiple causes (intussusception, incarceration, adhesions, strictures and torsion). Our patient is a 45 year old female presented with small bowel obstruction, for which Diagnostic laparoscopy was done shown to have unique wide mouthed Meckels diverticulum with stricture. Ileac resection with 2 layer anastamosis was performed. Discussion: Wide mouth meckels diverticulum causing intestinal obstruction is quite rare. In this case we witnessed a wide mouthed Meckels diverticulum with a constriction band which caused intestinal obstruction. The diagnosis was made through Diagnostic laparoscopy as CECT abdomen was inconclusive. Due to its rare wide mouthed picture, patient had slow progression of obstruction. Conclusion: Due to the rarity of presentation in adults, the presence of a symptomatic MD is usually misdiagnosed preoperatively. However radiological diagnosis is difficult concluding Diagnostic laparoscopy playing as a major diagnostic tool.