Saudi Journal of Medicine (SJM)
Volume-10 | Issue-12 | 563-565
Case Report
A Rare Cause of Small Bowel Obstruction in Adults: Meckel’s Diverticulum
Badr Jouabri, Samia Lachguar, Haytam Ajeram, Aabdennour Rhanmi, Yassine Abdou Laouali, Aabdoul Malick Tawfik Soré, Faisal El Mouhafid, Mohamed Essaid Ramraoui, Mohammed Jawad Fassi Fihri, Hicham Baba, Mohamed Lahkim, Ahmed El khader, Rachid El Barni
Published : Dec. 17, 2025
Abstract
Meckel’s diverticulum is a congenital gastrointestinal anomaly that is usually asymptomatic but may lead to complications such as obstruction, bleeding, diverticulitis, or perforation [1-4]. Intestinal obstruction is the most common complication in adults [3]. We report the case of a 37-year-old man who presented with acute abdominal pain, bilious vomiting, cessation of stool and gas passage, and abdominal distension. Abdominal CT revealed small bowel obstruction without a clearly identifiable cause. Emergency laparotomy revealed a bowel volvulus caused by a fibrous band extending from an inflamed Meckel’s diverticulum to the umbilicus. The diverticulum was resected, and a functional end-to-end bowel anastomosis was performed. Although preoperative diagnosis can be challenging, imaging may aid in identifying bowel obstruction, and surgical resection remains the definitive treatment in symptomatic cases [12-14]. This case highlights the importance of considering Meckel’s diverticulum in adult patients with small bowel obstruction and the need for prompt surgical intervention.