Torsion of Subphrenic Meckel's Diverticulum

THE CONGENITAL diverticulum of the terminal ileum, described in the early 19th century by J. Meckel,^9,10 can undergo a quite remarkable range of pathological disorders. Reports, both of large series^5,16,19,20 and of single bizarre cases,^{3,11,15,17,21} demonstrate the wide variety of manifestations of disorders of this excrescence, but of these conditions torsion of the diverticulum without involvement of the ileum appears to be very uncommon. Out of 463 cases of pathological Meckel's diverticulum reported in the recent literature, I have been able to find only five cases of isolated torsion.^4,5,16,19 Even Söderlund,¹⁶ in his exhaustive contribution, was able to present only one example of the condition. The present case is unusual in that the diverticulum had undergone three complete twists (1,080°) and was lying high over the dome of the right lobe of the liver in the right anterior subphrenic space.¹

Report of Case  A