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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
Summary
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.
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