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Meckel's diverticulum strangulated in an umbilical hernia

Akakpo-Numado Gamedzi Komlatsè1, Gnassingbe Komla, Attipou Komla

  • 1Department of Paediatric Surgery, CHU Tokoin, BP 57 Lome, Togo. akanugregoire@yahoo.fr

African Journal of Paediatric Surgery : AJPS
|August 8, 2009
PubMed

Insights

Strangulated Meckel

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Strangulated Meckel's diverticulum (MD) within an umbilical hernia (UH) is exceptionally rare.
  • This case highlights a critical pediatric surgical emergency.

Observation:

  • An 18-month-old girl presented with symptoms of upper intestinal strangulation.
  • Physical examination revealed an irreducible umbilical hernia.
  • Exploratory laparotomy identified a strangulated, gangrenous Meckel's diverticulum within the hernia sac.

Findings:

  • Complete gangrene of the Meckel's diverticulum was confirmed.
  • Successful surgical resection of the affected bowel segment was performed.

Implications:

  • Meckel's diverticulum can be the cause of strangulated umbilical hernia in children.
  • Prompt surgical intervention, including bowel resection for gangrenous segments, is crucial for favorable outcomes.
Abstract

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