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Internal hernia associated with Meckel's diverticulum in 2 pediatric patients
Sheung-Fat Ko1, Miao-Ming Tiao, Fu-Chen Huang
1Department of Radiology, College of Medicine, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University, Kaohsiung, Kaohsiung Hsien 833, Taiwan. sfatko@adm.cgmh.org.tw
The American Journal of Emergency Medicine
|December 18, 2007
Summary
Pediatric small bowel obstruction can be caused by Meckel's diverticulum internal hernia. Multidetector computed tomography effectively diagnoses this rare condition, aiding emergency department evaluations.
Area of Science:
- Pediatric Surgery
- Abdominal Radiology
- Gastroenterology
Background:
- Meckel's diverticulum is a congenital anomaly that can lead to various complications.
- Internal hernia formation secondary to Meckel's diverticulum is a rare but serious cause of small bowel obstruction.
Observation:
- Two pediatric patients presented with symptoms of small bowel obstruction.
- Abdominal multidetector computed tomography (MDCT) was utilized for diagnostic imaging.
Findings:
- MDCT revealed a unique "bridge-like" adhesion between the Meckel's diverticulum tip and the mesentery.
- This adhesion caused entrapment of small bowel loops, leading to obstruction.
- Engorged mesenteric vessels were noted adjacent to the obstructed ileal loops.
Implications:
- MDCT is a feasible and valuable tool for diagnosing internal hernia secondary to Meckel's diverticulum in pediatric patients.
- Early diagnosis via MDCT can facilitate timely surgical intervention, improving patient outcomes.
- This imaging modality is particularly useful in emergency department settings for identifying unusual causes of bowel obstruction.
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