Repository Karya Ilmiah Universitas Trisakti

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MECKEL'S DIVERTICULUM-INDUCED INTUSSUSCEPTION COINCIDING WITH DIABETES MELLITUS IN A YOUNG ADULT MALE: A CASE REPORT

Background: Adult intussusception, particularly when Meckel's Diverticulum induces it, is uncommon. Non-specific symptoms such as abdominal pain and nausea complicate diagnosis. Coexisting conditions like diabetes mellitus require specialized attention. Case Description: A 27-year-old diabetic male with severe right-sided abdominal pain, nausea, and decreased appetite were examined. Initial treatments did not improve his condition. Further investigations, including CT scans, identified an ileo-ileal intussusception instigated by Meckel's Diverticulum and partial high obstruction ileus. Surgical intervention was necessitated. Microscopic examination revealed transmural inflammation, necrosis, hemorrhage, and edema. Also heterotopic gastric tissue is found within the diverticular structure as presentation of Meckel’s diverticulum. Discussion and Conclusion: Ileo-ileal resection and adhesiolysis were performed successfully. Postoperative care focused on monitoring for complications, pain management, maintaining drain patency, and meticulous glucose level monitoring due to the patient's diabetes. The patient's significant postoperative improvement highlights the importance of prompt diagnosis and surgical intervention in managing Meckel's Diverticulum-induced intussusception. The case emphasizes the need for tailored postoperative care, considering the patient's comorbidities, such as diabetes mellitus. This case is a reminder of the potential role of Meckel's Diverticulum in adult intussusception cases


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Oleh :
Florinda Ilona