Meckel’s diverticulum (MD) represents a remnant of the embryonic vitelline duct and is recognized as a congenital anomaly of the small intestine. While it is more frequently identified in children, the majority of cases remain clinically silent, with symptomatic presentation in adults being relatively rare. When present, symptoms typically reflect complications, including gastrointestinal hemorrhage, diverticulitis, or intestinal obstruction. The probability of developing complications decreases with advancing age, making clinically significant presentations in elderly individuals uncommon and diagnostically challenging. We present the case of a 72-year-old male with features of small bowel obstruction, in whom intraoperative findings demonstrated a small-bowel volvulus occurring around an MD that functioned as the axis of rotation.
Sallay et al. (Mon,) studied this question.