A rare case of small bowel obstruction caused by Meckel’s diverticulum: case report

Author:

Najm Mahmoud1,Kelzia Aya1,Arnaout Ibrahim1ORCID,Kadoura Lama23,Ghazal Ahmad23ORCID

Affiliation:

1. Faculty of Medicine, University of Aleppo , Aleppo , Syrian Arab Republic

2. Department of Surgery , Aleppo University Hospital, , Aleppo , Syrian Arab Republic

3. University of Aleppo , Aleppo University Hospital, , Aleppo , Syrian Arab Republic

Abstract

Abstract Meckel’s diverticulum MD is the most common congenital deformity of the gastrointestinal tract. It has a very low reported incidence. We reported a 9-year-old child complaining of symptoms of small bowel obstruction. He had no medical or surgical history. There is no signs of peritonitis and appendicitis. Simple abdominal X-ray diagnosed the obstruction, during surgery we found an MD located 30 cm from the ileocecal valve, fibrous band may be as complication for MD to the anterior abdominal wall at the umbilicus, the small intestines were wrapped around the band, causing the obstruction. The MD and the band were excised with end-to-end anastomosis. We diagnosed our case during surgery. Early surgery is important to preserve bowel from gangrene or necrosis. The patient’s well-being improved, and he was discharged from the hospital in good condition.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference9 articles.

1. Axial volvulus of Meckel’s diverticulum: a rare cause of acute abdominal pain;Guss;Ann Emerg Med,1987

2. Torsion of Meckel’s diverticulum as a cause of small bowel obstruction: a case report;Murruste;World J Gastrointest Surg,2014

3. Axial torsion and gangrene of a giant Meckel’s diverticulum;Limas;J Gastrointestin Liver Dis,2006

4. Gangrene of Meckel’s diverticulum secondary to axial torsion: a rare complication;Malhotra;Am J Gastroenterol,1998

5. Intestinal obstruction role of CT;Frager;Gastroenterol Clin North Am,2002

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