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Case Reports
. 2020 Sep 30;2020(9):rjaa339.
doi: 10.1093/jscr/rjaa339. eCollection 2020 Sep.

Meckel's Diverticulitis. A rare cause of small bowel obstruction

Andreas Skarpas  1 , Petros Siaperas  1 , Athanasios Zoikas  1 , Emmanouela Griva  1 , Ioannis Kyriazis  1 , Georgios Velimezis  1 , Ioannis Karanikas  1
Affiliations
Case Reports

Meckel's Diverticulitis. A rare cause of small bowel obstruction

Andreas Skarpas et al. J Surg Case Rep. .

Abstract

Meckel's Diverticulum is a sac-like protrusion of the intestinal wall. It is located at 40-60 cm from the caecum. In the majority of cases, Meckel's Diverticulum is clinically silent, while complications are found in 4% of the population. Complicated diverticulitis is associated with the formation of abscess, fistula, bowel obstruction or frank perforation. We present a case of a 63-year-old woman with a distended abdomen, pain in the lower right abdominal quadrant, fever 37°C and where emergency exploratory laparotomy revealed that obstruction was caused by a bowel loop trapped by a mesenterium-diverticular band.

Keywords: Meckel’s Diverticulum; mesenteriun-diverticular band; mesodiverticular band; small bowel obstruction; symphysis.

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Figures

Figure 1
Figure 1
35 centimeters from the ileocecal valve, an 8-cm-long Meckel’s diverticulum had severe inflammation with the tip of it creating a symphysis band with the mesenterium.
Figure 2
Figure 2
Ileal loops were dilated at the superior part of the mechanical obstruction.
See this image and copyright information in PMC

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