Meckel’s diverticulum presenting with ileocolic intussusception in second trimester pregnancy : A rare presentation

Abstract

Acute abdomen during the later gestation offers diagnostic dilemma for clinicians. In this case report, we present a case of 20-year-old primigravida who suffered an acute onset upper abdominal pain associated with multiple episodes of vomiting and loose stools. Ultrasound gave a strong hint of intussusception. Due to the persistently worsening symptomatology, she was surgically explored and found to have a long segment ileocolic intussusception with Meckel’s diverticulum as the lead point. Surgical correction and diverticulectomy was performed and the patient discharged satisfactorily. Such a presentation can be challenging in an antenatal period due to non-specific and overlapping symptomatology further confounded by surgeon’s hesitancy, obstetrical risk, pregnancy related differentials and risk of radiation exposure with use of CT. However, strong clinical suspicion can aid in such cases thus reducing the risk of maternal and fetal mortality.