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Compound and Multiple intussusceptions caused by inverted Meckel’s diverticulum: A rare case report

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Abstract (2. Language): 
A 10-year-old girl presented to the emergency department with vomiting and abdominal pain. On examination, she had only mild abdominal tenderness, but a mass was palpable in her right lower quadrant. Intussusception was diagnosed on ultrasound and posted for exploratory laparotomy and operative findings revealed a multiple and compound intussusception (ileoileal and ileocaeoco-colic) secondary to an inverted Meckel’s diverticulum. Intussusceptions were reduced manually, Meckel’s diverticulectomy, appendectomy and then caecopexy was done. Intussusception is a surgical abdominal emergency, which can present in all ages but is the most common reason for small bowel obstruction in childhood. In older children, intussusception is more likely to be related to underlying pathology, such as Meckel’s diverticulum, malignancy, or polyp. Mulitple and compound intussusception with inverted Meckel’s diverticulum is a rare but important clinical entity. Diverticulectomy or bowel resection is the standard treatment but early surgical intervention may ensure a favorable outcome.
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