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Softball injury causing haemoperitoneum due to ruptured Meckel's mesodiverticular band

Julie Woodfield1, Mark Barnett, Peter Shapkov

  • 1North Shore Hospital, Waitemata District Health Board, Takapuna, Auckland, New Zealand.

The New Zealand Medical Journal
|October 22, 2011
PubMed

Insights

A rare sports injury occurred when a teen athlete experienced severe internal bleeding. This was caused by a ruptured mesodiverticular band connected to a Meckel's diverticulum, a unique traumatic event.

Area of Science:

  • Gastrointestinal surgery
  • Trauma surgery
  • Pediatric surgery

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • Mesodiverticular bands are rare congenital remnants that can cause complications.
  • Intra-abdominal hemorrhage is a life-threatening condition requiring prompt surgical intervention.

Observation:

  • A 16-year-old male athlete presented with acute intra-abdominal hemorrhage following a sports injury.
  • Surgical exploration revealed a ruptured patent mesodiverticular band.
  • The ruptured band was supplying a large Meckel's diverticulum.

Findings:

  • The patient's massive intra-abdominal hemorrhage was directly attributed to the traumatic rupture of a mesodiverticular band.
  • This represents the first reported case of a ruptured mesodiverticular band as a singular injury.
  • This is also the first documented instance of such an injury occurring in a sports-related context.

Implications:

  • Highlights the potential for rare congenital anomalies to cause acute surgical emergencies during physical activity.
  • Emphasizes the importance of considering unusual causes of intra-abdominal hemorrhage in young athletes.
  • Suggests a need for increased awareness among medical professionals regarding mesodiverticular band pathology in trauma settings.

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