Small bowel obstruction secondary to intussusception due to double Meckel's diverticulum in an adult: a case report


  • Laís L. Menéndez Goti Department of General Surgery, “Hospital Regional Dr. Valentin Gomez Farias” ISSSTE, Zapopan, Jalisco, Mexico
  • Juan P. García Godínez Department of General Surgery, “Hospital Regional Dr. Valentin Gomez Farias” ISSSTE, Zapopan, Jalisco, Mexico
  • Nora L. Flores Olmos Department of General Surgery, “Hospital Regional Dr. Valentin Gomez Farias” ISSSTE, Zapopan, Jalisco, Mexico



Intussusception, Meckel’s diverticulum, Bowel obstruction


Meckel's diverticulum (MD) is a normal variant in 2% of the population, it contains all the layers of the small intestine and is considered a true diverticulum. One of the most frequent complications in adults is obstruction secondary to intussusception of MD towards the ileum. We present the case of a 52-year-old man with severe abdominal pain, nausea, and vomiting, which did not respond to conservative management. Imaging studies compatible with small bowel obstruction, identifying the transition zone at the ileum level. An exploratory laparotomy was performed ruling an intussusception due to a diverticulum, an intestinal resection was performed. The histopathological study revealed a double MD. In adults with symptomatic MD, this represents a challenge in early diagnosis and immediate surgical treatment. Intestinal intussusception in adults secondary to MD is rare and should be considered in the differential diagnosis of those with abdominal pain and small bowel obstruction.


Marsicovetere P, Ivatury SJ, White B, Holubar SD. Intestinal Intussusception: Etiology, Diagnosis, and Treatment. Clin Colon Rectal Surg. 2017;30(1):30-39.

Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, Theodosopoulos T. Intussusception of the bowel in adults: a review. World J Gastroenterol. 2009;15(4):407-11.

Tarchouli M, Ait Ali A. Adult intussusception: An uncommon condition and challenging management. Visceral Med. 2020;37(2):120-27.

Panzera F, Di Venere B, Rizzi M, Biscaglia A, Praticò CA, Nasti G, et al. Bowel intussusception in adult: Prevalence, diagnostic tools and therapy. World J Methodol. 2021;11(3):81-7.

Muneeb A, Nguyen NN, Iqbal F, Bhargava P. Meckel's diverticulum leading to ileo-ileal intussusception. Radiology Case Rep. 2022;17(5):1579-82.

Mora-Guzmán I, Muñoz de Nova JL, Martín-Pérez E. Meckel's diverticulum in the adult: surgical treatment. Acta Chir Belg. 2019;119(5):277-81.

Ruíz MC, Higuera F, De la T, Pérez ET. El divertículo de Meckel. Revista Médica Del Hospital General de México. 2014;77(2):88-92.

Rangan V, Lamont JT. Small Bowel Diverticulosis: Pathogenesis, Clinical Management, and New Concepts. Curr Gastroenterol Rep. 2020;22(1).

Kassir R, Boueil-Bourlier A, Baccot S, Abboud K, Dubois J, Petcu CA, et al. Jejuno-ileal diverticulitis: Etiopathogenicity, diagnosis and management. Int J Surg Case Rep. 2015;10:151-3.

Bennett GL, Birnbaum BA, Balthazar EJ. CT of Meckel’s Diverticulitis in 11 Patients. Am J Roentgenol. 2004;182(3):625-9.

Tenreiro N, Moreira H, Silva S, Madureira L, Gaspar J, Oliveira A. Unusual presentation of a Meckel’s diverticulum: A case report. Int J Surg Case Rep. 2015;16:48-51.

Blando-Ramírez JS, Ocádiz-Carrasco J, Gutiérrez-Padilla RA, Vicencio-Tovar A, Ricardez-García JA. Doble divertículo de Meckel. Presentación de un caso y revisión de la bibliografía. Cirugía y Cirujanos, 2014;82(3):332-7.

Zani A, Eaton S, Rees CM, Pierro A. Incidentally Detected Meckel Diverticulum. Ann Surg. 2008;247(2):276-81.

Lequet J, Menahem B, Alves A, Fohlen A, Mulliri A. Meckel’s diverticulum in the adult. J Visceral Surg. 2017;154(4):253-9.




How to Cite

Goti, L. L. M., Godínez, J. P. G., & Olmos, N. L. F. (2023). Small bowel obstruction secondary to intussusception due to double Meckel’s diverticulum in an adult: a case report. International Journal of Research in Medical Sciences, 11(11), 4201–4206.



Case Reports