Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Surg. Aug 27, 2026; 18(8): 120717
Published online Aug 27, 2026. doi: 10.4240/wjgs.120717
Published online Aug 27, 2026. doi: 10.4240/wjgs.120717
Giant Meckel’s diverticulum with inflammation, ischemia, and adhesive obstruction: A case report
Berkan Acar, Ali Muhtaroğlu, Department of General Surgery, Giresun University Faculty of Medicine, Giresun 28100, Türkiye
Elif Yılmaz, Department of General Surgery, Private Umut Hospital, Ordu 52100, Türkiye
Author contributions: Muhtaroğlu A conceived the study and drafted the manuscript; Acar B performed the operation and contributed to data interpretation; Yılmaz E collected the clinical data and contributed to critical revision of the manuscript; and all authors read and approved the final manuscript.
AI contribution statement: We used the Grammarly program for language editing. The manuscript content and figures/tables were all created without the use of AI software.
Informed consent statement: The patient provided informed written consent for publication of this case report and the accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Ali Muhtaroğlu, Associate Professor, Department of General Surgery, Giresun University Faculty of Medicine, Aksu District, Mehmet İzmen Street, Giresun 28100, Türkiye. alimuhtarogluu@gmail.com
Received: March 6, 2026
Revised: March 17, 2026
Accepted: April 14, 2026
Published online: August 27, 2026
Processing time: 164 Days and 4.6 Hours
Revised: March 17, 2026
Accepted: April 14, 2026
Published online: August 27, 2026
Processing time: 164 Days and 4.6 Hours
Core Tip
Core Tip: Giant Meckel diverticulum is an unusual but important diagnostic pitfall in adults with small-bowel obstruction. In this case, computed tomography showed a blind-ending, inflamed tubular structure separate from the cecum, and surgery confirmed a 14-cm ischemic diverticulum, with inflammatory adhesions creating the transition point. The case is notable not only for its size but also because severe symptoms developed in the absence of ectopic mucosa, underscoring the role of stasis, ischemia, and adhesion formation in giant lesions.