Strangulation of the Small Intestine Secondary to Meckel's Diverticulitis : Report of a Case in Old Age

A 90-year-old Japanese male was referred to our hospital with severe abdominal pain and vomiting. A diagnosis of strangulation of the small intestine was made, and emergency surgery was performed. Intraoperative exploration revealed that a loop of small intestine was strangulated in an opening formed by adhesion of the thickened tip of a Meckel's diverticulum to the mesentery of the small intestine. Pathological examination confirmed severe chronic inflammation at the tip of the Meckel's diverticulum. In the classification by Rutherford and Akers this type of strangulation is included in a rare group of intestinal obstructions following inflammation of Meckel's diverticulum.