An Extremely Rare Case of Small Bowel Strangulation Due to Meckel’s Diverticulum

Sopan N. Jatal *

Jatal Hospital and Research Centre, Latur, India.

Sudhir Jatal

Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.

Sachin Ingle

Department of Pathology, MIMSR Medical College, Latur, India.

*Author to whom correspondence should be addressed.


Meckel’s diverticulum is the most common congenital gastrointestinal anomaly. Intestinal obstruction is the common presenting symptom in the adult population, due to complications like intussusception, Incarceration, adhesion and torsion around a fibrous band attached to the umbilicus. The life time risk of complication is 4-9%. It is an uncommon cause of acute intestinal obstruction in adults. Strangulation of small bowel with an encircling Meckel’s diverticulum around the base of the mesentery or loop formation of Meckel’s diverticulum leading to small bowel obstruction is an extremely rare event causing strangulation of small bowel and high mortality if the treatment is delayed.

We present a case report of a 15 years-old boy, who present with small bowel obstruction, requiring an emergency laparotomy. He was found a strangulated loop of small bowel with an encircling Meckel’s diverticulum around the base of the mesentery. So five feet of gangrenous small bowel along with Meckel’s diverticulum is resected and end to end anastomosis done.

Keywords: Small bowel obstruction, Meckel’s diverticulum, explorative laparotomy

How to Cite

Jatal , S. N., Jatal , S., & Ingle , S. (2023). An Extremely Rare Case of Small Bowel Strangulation Due to Meckel’s Diverticulum. Asian Journal of Research in Surgery, 6(2), 97–100. Retrieved from


Bhattarai HB, Bhattarai M, Shah S, et al. Meckel's diverticulum causing acute intestinal obstruction: A case series. Clin Case Rep. 2022;10:e06518. DOI: 10.1002/ccr3.6518

Runyowa, Martin & Samaraee, Ahmad & Rajagopa, Ramesh & Kalbassi, Mohammed & Bhattacharya, Vish. Unusual case of small bowel strangulation due to Meckel's diverticulum. American Journal of Case Reports. 2009;10:9-11. DOI:10.12659/AJCR.869560.

Shilpi Singh Gupta, Onkar Singh. Loop formation of Meckel’s diverticulum causing small bowel obstruction in adults: report of two cases, Turkish Journal of Trauma & Emergency Surgery. DOI: 10.5505/tjtes.2011.54533

Skarpas A, Siaperas P, Zoikas A, Griva E, Kyriazis I, Velimezis G, Karanikas I. Meckel's Diverticulitis. A rare cause of small bowel obstruction. J Surg Case Rep. 2020 Sep 30;2020(9):rjaa339. DOI: 10.1093/jscr/rjaa339. PMID: 33024533

PMCID: PMC7524604.

Al Jabri KA, El Sherbini A. Small Bowel Obstruction due to Meckel's Diverticulum: A Case Report. Oman Med J. 2012; 27(1):e029. DOI: 10.5001/omj.2012.18. Retraction in: Oman Med J. 2020 Jul 12;35(4):e148. PMID: 28861183; PMCID: PMC5563914.

Prall RT, Bannon MP, Bharucha AE. Meckel’s diverticulum causing intestinal obstruction. Am J Gastroenterol. 2001; 96:3426–7. [PubMed] [Google Scholar]

Higaki S, Saito Y, Akazawa A, Okamoto T, Hirano A, Takeo Y, et al.. Bleeding Meckel’s diverticulum in an adult. Hepatogastroenterology 2001;48:1628– 30. [PubMed] [Google Scholar]

Ludtke FE, Mende V, Kohler H, et al. Incidence and frequency of complications and management of Meckel's diverticulum. Surg Gynecol Obstet. 1989;169:537– 542.


Foster NM, McGory ML, Zingmond DS, Ko CY. Small bowel obstruction: a population-based appraisal. J Am Coll Surg. 2006. Aug;203(2):170-176. DOI:10.1016/j.jamcollsurg.2006.04.020

Gamblin TC, Glenn J, Herring D, McKinney WB. Bowel obstruction caused by a Meckel’s diverticulum enterolith: A case report and review of the literature. Curr Surg 2003;60(1):63-64. DOI:10.1016/S0149-7944(02)00650-5