Meckel's diverticulum associated with ileal volvulus in a neonate
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1Section of Pediatric Surgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China.
Abstract:
A symptomatic Meckel's diverticulum (MD) may manifest as an intestinal obstruction secondary to a volvulus. We describe a case of a meconium-impacted MD associated with inflammatory adhesions to adjacent viscera that presented as an intestinal obstruction in a 4-h-old infant secondary to an ileal volvulus with resultant infarction of the diverticulum and ileal segment.
Insights
A symptomatic Meckel
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Meckel's diverticulum (MD) is a congenital anomaly that can cause complications.
- Intestinal obstruction is a known complication of symptomatic MD.
Observation:
- A 4-hour-old infant presented with intestinal obstruction.
- The obstruction was caused by a meconium-impacted Meckel's diverticulum with adhesions.
Findings:
- The case involved an ileal volvulus secondary to the impacted MD.
- This led to infarction of both the diverticulum and the adjacent ileal segment.
Implications:
- This case highlights a rare cause of neonatal intestinal obstruction.
- Early diagnosis and surgical intervention are crucial for managing such complex MD presentations.
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