A Case Report of Axial Torsion of Meckel’s Diverticulum: An Acute Abdomen Without Mechanical Bowel Obstruction in a Child

Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. It is commonly silent but can cause multiple complications. The rarest presentation of Meckel's diverticulum is axial torsion around its base without involving the main gut lumen. This can lead to acute abdomen without bowel obstruction. Here we present a case of an eight-year-old boy who was found to have a huge Meckel diverticulum with axial torsion causing necrosis of the cyst without involving the bowel's main lumen. This paper discusses potential diagnostic and therapeutic pitfalls of the axial torsion of an MD.