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Meckel's stone ileus
1Division of Hyperbaric Medicine, Armstrong Laboratory, Brooks Air Force Base, TX 78235-5000.
Military Medicine
|February 1, 1992
Summary
Meckel's diverticulum, a common congenital small bowel abnormality, can rarely cause obstruction due to an enterolith (Meckel's stone ileus). This case report details this extremely rare complication, reviewing existing literature.
Area of Science:
- Gastroenterology and General Surgery
- Congenital Abnormalities
- Surgical Pathology
Background:
- Meckel's diverticulum is the most frequent congenital anomaly of the small intestine, affecting about 2% of the population.
- Common complications include hemorrhage, intussusception, neoplasms, and inflammation.
- Enterolith formation within a Meckel's diverticulum is uncommon.
Observation:
- This report describes an extremely rare instance of mechanical small bowel obstruction.
- The obstruction was caused by an enterolith extruding from a Meckel's diverticulum, a condition termed Meckel's stone ileus.
- A literature review of this rare condition is included.
Findings:
- Meckel's stone ileus is a rare but significant complication of Meckel's diverticulum.
- Enterolith extrusion can lead to critical surgical emergencies like bowel obstruction.
- The case and literature review highlight the diagnostic and management considerations.
Implications:
- Understanding rare complications like Meckel's stone ileus is crucial for surgeons.
- Prompt diagnosis and surgical intervention are necessary for favorable outcomes.
- Further case reports and reviews can improve awareness and management strategies for this rare condition.