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Loop formation of Meckel's diverticulum causing small bowel obstruction in adults: report of two cases

Shilpi Singh Gupta1, Onkar Singh

  • 1M.G.M Medical College & M.Y. Hospital, Indore, India. drguptashilpi@gmail.com

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|February 1, 2012
PubMed

Insights

Meckel

Area of Science:

  • Gastroenterology and Surgery

Background:

  • Meckel's diverticulum is the most frequent congenital anomaly of the gastrointestinal tract.
  • While typically asymptomatic, it carries a 4% lifetime complication rate.
  • It is an infrequent cause of intestinal obstruction in adults.

Observation:

  • This report details two rare cases of small bowel obstruction.
  • The obstruction was caused by a loop formed by Meckel's diverticulum.
  • Adhesions between the diverticulum's distal end and the ileum/mesentery created the obstructive loop.

Findings:

  • The study highlights an extremely rare mechanism of small bowel obstruction.
  • Loop formation of Meckel's diverticulum led to bowel obstruction and strangulation in both cases.
  • The specific adhesion pattern was key to the obstruction.

Implications:

  • These cases underscore the importance of considering Meckel's diverticulum in adult intestinal obstruction.
  • The findings emphasize the potential for rare complications like loop obstruction.
  • Awareness of such presentations can aid in timely diagnosis and surgical management.

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