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Intestinal obstruction and Gangrene caused by torsion of a large Meckel's Diverticulum

A 25 year old primi with history of 4 months amenorrhoea presented with sudden onset abdomen pain and distention over past 2 days. On examination she had significant tachycardia and she was febrile. There was generalized guarding and rigidity present over the abdomen along with rebound tenderness suggestive of peritonitis. There ere no abnormal findings on PR.




Abdomen Xray erect showed dilated bowel loops. USG also showed dilated bowel loops and free fluid.
An emergency laprotomy was done to find a torsed Meckel's diverticulum with adhesions and surrounding bowel gangrene. Bowel resection and anastomosis was done. Postoperative period was uneventful,





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