Intussusception due to Invaginated Meckel's Diverticulum

Yukio Fujino, Nobuo Murata*, Isamu Inoue

Department of Surgery, Miyoshi Kosei Hospital
*Second Department of Surgery, Saitama Medical Center, Saitama Medical School

A case of intussusception caused by an inverted Meckel's diverticulum is reported. The patient was a 51-year-old-man who complained of abdominal pain, an abdominal tumor and diarrhea. Physical examination, ultrasonography and CT were helpful in diagnosing intussusception. He was operated on under the diagnosis of intussusception. Laparotomy revealed that an inverted Meckel's diverticulum leading to intussuception. The ileum was partially resected with end-to-end anastmosis. The histology of the resected specimen revealed that the Meckel's diverticulum contained heterotopic pancreatic tissue. Thirty cases of intussusception caused by Meckel's diverticulum were reported in Japan during the past 10 years. In all but one of the cases which were described in detail, the diverticulum was inverted, leading to intussusception.

Key words
Meckel's diverticulum, intussusception, heterotopic pancreatic tissue

Reprint requests
Yukio Fujino Department of Surgery, Miyoshi Kosei Hospital
266-1 Fujikubo, Miyoshi-machi, Iruma-gun Saitama, 354 JAPAN

Accepted
September 4, 1991

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