Introduction:

The incidence of Meckel's diverticulum in the general population is approximately 1 to 2 % and clinical manifestations are seen in only 20 % of these people. The diagnosis in the remaining 80 % is incidental and is made by surgical findings, reported in approximately 2 % of autopsies.

Objective:

To describe the clinical presentation and surgical characteristics of mechanical intestinal occlusion by Meckel's diverticulum in the adults.

Clinical case:

54-year-old male patient who was attended with a painful abdominal condition and clinical elements of an occlusive syndrome. During surgery, a broad-based Meckel's diverticulum was found as a point of attachment, and small intestine volvulus. A terminal resection and anastomosis was performed in one plane. Postoperative evolution was satisfactory.

Conclusions:

Mechanical intestinal occlusion secondary to Meckel's diverticulum is a rare cause of occlusive syndrome that must be taken into account in surgical practice.

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