Meckel's diverticulum complicating gallstone ileus-a surgical odyssey: case report and literature review

Corona Flores Yanetzy Elizabet; Aviles Gaitan Kevin; Serrano Rodríguez Rosaura Julissa; Sánchez Reyes Karina; Flores Orellana Mario Oscar; Alvear Torres Luis Eduardo; Arreola García Pedro; Blaz-Zavala Rogelio Agustín

doi:10.18203/2320-6012.ijrms20241912

Authors

Corona Flores Yanetzy Elizabet Department of Gastrointestinal Tract Surgery Department. HE CMN SXXI, Mexico
Aviles Gaitan Kevin Department of Gastrointestinal Tract Surgery Department. HE CMN SXXI, Mexico
Serrano Rodríguez Rosaura Julissa Department of Gastrointestinal Tract Surgery Department. HE CMN SXXI, Mexico https://orcid.org/0009-0006-9316-8524
Sánchez Reyes Karina Department of Gastrointestinal Tract Surgery Department. HE CMN SXXI, Mexico
Flores Orellana Mario Oscar Hospital General de Zona 1-A. Rodolfo de Mucha Macías, IMSS, Mexico
Alvear Torres Luis Eduardo Hospital General de Zona 1-A. Rodolfo de Mucha Macías, IMSS, Mexico
Arreola García Pedro Hospital General de Zona 1-A. Rodolfo de Mucha Macías, IMSS, Mexico
Blaz-Zavala Rogelio Agustín Department of General Surgery, Hospital General de Zona 2-A “Troncoso”, IMSS, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241912

Keywords:

Meckels diverticulum, Biliary complications, Intestinal obstruction, Gastrointestinal surgery, Bilioenteric fistula, Intestinal anastomosis, Mirizzi syndrome

Abstract

Meckel's diverticulum is a common anomaly of the gastrointestinal tract, often presenting with various complications. Here, we present a case of a 50-year-old female with a history of hysterectomy and cesarean sections, who presented with symptoms consistent with gallstone ileus. Upon investigation, a Meckel's diverticulum with an associated cholecystoduodenal fistula was identified. Surgical intervention involved resection of the affected intestinal segment and anastomosis, without additional intervention targeting the gallbladder or fistula repair. A systematic review revealed four reported cases of Meckel's diverticulum complicating gallstone ileus in the literature. Our case underscores the importance of considering Meckel's diverticulum in the differential diagnosis of gallstone ileus and highlights the efficacy of a tailored surgical approach.

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