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[Intestinal obstruction by Meckel's diverticulum: a case study]
J Díaz Plasencia1, S Boncún Bravo, R Romero Bravo
1Medico Jefe del Departamento de Cirugia del Hospital Belen de Trujillo.
Abstract:
The intestinal obstruction by Meckel s diverticulum is caused by an adherence, volvulus or invagination affecting this diverticulum. This is not a very frequent event and our purpose is to describe a case of intestinal obstruction by a bridle formed by Meckel s diverticulum. Clinically, the patient experienced pain in the periumbilical region, abdominal distension and bilious vomits. The exploratory laparotomy evidenced the existence of Meckel s diverticulum without signs of inflammation.
Insights
Meckel s diverticulum can cause rare intestinal obstructions due to adhesions or bands. This case highlights a bridle formation leading to obstruction, presenting with typical symptoms like pain and vomiting.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intestinal obstruction is a common surgical emergency.
- Meckel s diverticulum is a congenital anomaly of the small intestine.
- Obstruction secondary to Meckel s diverticulum is infrequent.
Observation:
- A patient presented with periumbilical pain, abdominal distension, and bilious vomiting.
- Exploratory laparotomy was performed.
- A bridle formed by Meckel s diverticulum was identified as the cause of obstruction.
Findings:
- Meckel s diverticulum was present but lacked signs of inflammation.
- The diverticulum formed a bridle causing mechanical intestinal obstruction.
Implications:
- This case underscores the importance of considering Meckel s diverticulum in the differential diagnosis of intestinal obstruction, even without inflammation.
- Surgical intervention is crucial for resolving such obstructions.
- Understanding the varied presentations of Meckel s diverticulum is vital for accurate diagnosis and management.