Strangulated Meckel's Diverticulum Causing Intestinal Obstruction (original) (raw)
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Small Bowel Obstruction due to Mesodiverticular Band of Meckel's Diverticulum: A Case Report
Case reports in medicine, 2010
Meckel's diverticulum is the most common congenital anomaly of the small intestine. Common complications related to a Meckel's diverticulum include haemorrhage, intestinal obstruction, and inflammation. Small bowel obstruction due to mesodiverticular band of Meckel's diverticulum is a rare complication. Herein, we report the diagnosis and management of a small bowel obstruction occurring due to mesodiverticular band of a Meckel's diverticulum.
Mesodiverticular band of Meckel's diverticulum: A cause for small bowel obstruction
International Journal of Surgery Science, 2019
Meckel's diverticulum is one of the commonest congenital anomaly of the small intestine. The surgical complications of Meckel's diverticulum include hemorrhage, intestinal obstruction and diverticulitis. Intestinal obstruction due to Meckel's diverticulum merits special mention due to the variability in the pathology leading to the obstruction. A case of Mesodiverticular band of Meckel's diverticulum causing acute small bowel obstruction is presented with a view to highlight the peculiar pattern of the surgical pathology.
International journal of scientific research, 2018
A pelvic drain was inserted. The diverticulum was confirmed as Meckel's diverticulum by histological examination. The postoperative period was uneventful. After 6 days, the patient was discharged. At the 3-month follow-up, the patient showed no evidence of complications. Discussion Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract [7]. Johann Friedrich Meckel first described the embryological origin of congenital diverticulum of the midgut in 1809 [8]. Meckel's diverticulum results from incomplete obliteration of the most proximal portion of the vitelline or omphalomesenteric duct occurring
Visceral Medicine, 2013
A pelvic drain was inserted. The diverticulum was confirmed as Meckel's diverticulum by histological examination. The postoperative period was uneventful. After 6 days, the patient was discharged. At the 3-month follow-up, the patient showed no evidence of complications. Discussion Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract [7]. Johann Friedrich Meckel first described the embryological origin of congenital diverticulum of the midgut in 1809 [8]. Meckel's diverticulum results from incomplete obliteration of the most proximal portion of the vitelline or omphalomesenteric duct occurring
Meckel’s diverticulum: a rare cause of small bowel obstruction in an adult
International Surgery Journal, 2021
Small bowel obstruction is responsible for 20% of all acute surgical admissions, with the most common cause being postoperative adhesions followed by hernias. Meckel’s diverticulum is the most common congenital abnormality of the gastrointestinal tract. It results from incomplete obliteration of the vitelline duct during 5-7 weeks of embryonic development, leading to a true diverticulum on the antimesenteric border of the ileum. It occurs in approximately 2% of the population with a male-to-female ratio of 2:1, is located about 60 cm from the ileocaecal valve. It is usually asymptomatic or discovered incidentally during surgery performed for other reasons, however, 2% of patients develop a complication of Meckel’s diverticulum during their lifetime, which includes hemorrhage, intestinal obstruction and inflammation. Bowel obstruction can be caused by intussusception, volvulus, Littre’s hernia or, rarely, a mesodiverticular band of the diverticulum. We present a rare case of a 50-yea...
Meckel's diverticulum: a literature review
Revista Médica de Minas Gerais, 2014
Meckel's diverticulum (MD) is considered the most common congenital abnormality of the gastrointestinal tract. It results from a failed obliteration of the omphalomesenteric duct (vitelline duct), and generally presents as short diverticulum of wide base, located in the antimesenteric border of the ileum, about 90cm from the ileocecal valve. It is asymptomatic in most cases and diagnosed accidentally by laparotomy/laparoscopy indicated for other causes. It manifests as gastrointestinal bleeding in children and in adults by developing abdominal obstructive or inflammatory processes. Its main complications are bleeding, intussusception, volvulus, enterolith formation, inflammation, perforation, obstruction, and neoplasia. Diagnostic confirmation is defined by imaging studies such as abdominal ultrasound, computed tomography, scintigraphy, and angiography. Clinical conduct in asymptomatic patients is controversial; however, in symptomatic patients, surgical indication is a consensus. The approach requires simple diverticulectomy or segmental bowel resection with primary reconstruction by end-to-end anastomosis.
Cureus
Meckel's diverticulum (MD) is the most common congenital malformation occurring in the gastrointestinal tract and results from the persistence of the vitelline duct during embryology. MD is typically asymptomatic in adults with most of its symptoms manifesting in early childhood. Small bowel obstruction (SBO) due to MD in the elderly population is an entity that has not been widely described in the literature. We present a very rare case of SBO in an 80-year-old patient with no previous abdominal surgeries (virgin abdomen). The cause of obstruction was determined to be an adhesive band formed on top of an MD. The obstruction was relieved and the small bowel segment that contained the diverticulum was resected, and anastomosis was made.
Unusual presentation of a Meckel’s diverticulum: A case report
International Journal of Surgery Case Reports, 2015
INTRODUCTION: Meckel's diverticulum (MD) is the most common congenital malformation of the gastrointestinal tract. Intestinal obstruction is the lead presenting symptom in the adult population due to multiple causes (intussusception, incarceration, adhesions, strictures and torsion). Our patient had a complicated MD with an unique combination of risk factors and findings. PRESENTATION OF CASE: We report an unusual case of an 18-year-old patient presenting with acute small bowel obstruction for several days, who developed focal peritoneal signs on right lower quadrant. On laparotomy, findings included a necrotic giant MD and a small bowel volvulus around a fibrous band that attached MD to the umbilicus. Segmental enterectomy with primary anastomosis was performed. DISCUSSION: Axial torsion and gangrene of MD is the rarest complication. Its pre-operative diagnosis remains elusive as it can be clinically indistinguishable from other intra-abdominal inflammatory conditions. The correct diagnosis of complicated MD before surgery is often difficult because this condition can mimic other acute abdominal pathologies. There are several risk factors that can point to an accurate and early diagnosis, especially when combined with the appropriate imaging techniques, such as computed tomography with oral and intravenous contrast. CONCLUSION: This complication remains underdiagnosed, often with delayed surgical intervention and sub-optimal treatment that leads to significant morbidity and mortality.
Meckel's Diverticulum in a 44 Years Old Female withIntestinal Obstruction: A Case Report
2019
Meckel Is diverticulum is a rare gastrointestinal congenital anomaly that is difficult to diagnose and presents with anemia, abdominal pain, or intussusception [6]; was described originally by Guilhelmus Fabricius Hildanus in 1598. [5] A Meckel’s diverticulum is usually an asymptomatic condition, and many cases are incidentally discovered during a radiographic evaluation or during surgery performed for other reasons. [6] The diagnosis is usually made in childhood. Here, we report the case of a 44-year-old female with a volvulated Meckel’s diverticulum, causing a small bowel obstruction. The patient initiated with profuse diarrhea and vomiting bilious content; then started with abdominal distention and severe abdominal pain, becoming an intestinal obstruction. Later, the patient was surgically intervened; finding a Meckel’s diverticulum volvulated in the intraoperative that was causing the obstruction. Meckel's diverticulum is rarely diagnosed in adults. It is usually asymptomat...
Intestinal Obstruction by Giant Meckel's Diverticulum
GE - Portuguese Journal of Gastroenterology, 2016
Background: Meckel's diverticulum is the most common congenital anomaly of the small bowel and is caused by the incomplete obliteration of the omphalomesenteric duct during the eighth week of gestation. Methods: We report the case of a 51-year-old male who presented to the emergency department with epigastric pain, vomiting, and abdominal distension. Clinically, he had a high intestinal obstruction without any mechanical cause on computed tomography scan. A median laparotomy was proposed. Results: An internal ileum hernia was identified twisted around a giant Meckel's diverticulum with a mesodiverticular artery, coursing from the base of the mesentery to the diverticulum. A small bowel segmental resection was performed, containing the diverticulum. Histology revealed a 15-cm long Meckel's diverticulum with no heterotopic mucosa. Conclusion: Small bowel obstruction due to an internal ileum hernia twisted around a giant Meckel's diverticulum with a mesodiverticular art...