A case report of inverted Meckel's diverticulum

• Main Authors: Elizabeth Rhodes, BS, Trevor Stone, MD, Laura Spruill, MD, Andrew D Hardie, MD
• Format: Article
• Language: English
• Published: Elsevier 2021-05-01
• Series: Radiology Case Reports
• Subjects: Inverted diverticulum; Meckel's diverticulum; Inverted appendix; Inverted colonic diverticulum; Gastrointestinal bleeding
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043321000893

Inverted Meckel's diverticulum is an entity often discovered incidentally or through a clinical evaluation for gastrointestinal bleeding. While rare, inverted Meckel's diverticulum should be considered in the evaluation of a patient presenting with gastrointestinal bleeding, intestinal obstruction, or intussusception. In this case, a 67-year-old female with a remote history of surgically treated breast cancer presents to an urgent care facility with weakness and fatigue. She was found to be anemic with hemoglobin of 4. Imaging revealed a blind-ending pouch in the mid to distal ileum consistent with an inverted Meckel's diverticulum. Inverted Meckel's diverticulum is identified on computerized tomography as an intraluminal, blind-ending structure in the mid to distal ileum. The possibility of a lead point should be investigated and surgical resection is indicated to prevent intestinal obstruction.