Perforated Meckel's Diverticulum causing Intussusception in a Neonate

Intussusception is well-recognised in young children; however this condition is very rare in newborns [1]. Neonatal intussusception is usually caused by several conditions including Meckel’s diverticulum, intestinal polyps and intestinal duplication [1]. Meckel’s diverticulum can present at any age group; however rarely, a symptomatic Meckel’s diverticulum may present in neonates [2]. We report a rare case of neonatal bowel obstruction with an intussusception secondary to perforated Meckel’s diverticulum. A male newborn at term, weighing 2350 grams, presented with bilious vomiting without abdominal distension. The plain abdominal radiograph showed a gastric distention without pneumatosis intestinalis or free air. Laboratory tests did not demonstrate any alteration. A midgut volvulus was suspected based on ultrasound data. Upon surgical exploration, we found an ileo-ileal intussusception which was manually reduced. After reduction, we founded an ileal perforated Meckel’s diverticulum (Fig.1). The affected bowel segment was resected and end-to-end ileo-ileal anastomosis was done. The postoperative course was uneventful. Histopathology report was consistent with perforated Meckel’s diverticulum.