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Unique presentation of Meckel diverticulum in the form of cocoon managed successfully by laparoscopic surgery
Vennapusa Amar1, Karuppusamy Sendhil Kumar, Panchangam Ramakanth Bhargav
1Department of Minimal Access, Metabolic & Bariatric Surgery, Prime Hospitals, Andhra Pradesh, India. amar.venn@gmail.com
Abstract:
We report a case of complicated Meckel diverticulum presenting with subacute intestinal obstruction in a 21-year-old man managed successfully by laparoscopic surgery. Despite a diagnostic laparoscopy and laparotomy performed elsewhere in the past, main pathology was missed. Diagnostic laparoscopy in our center revealed a fusiform mass arising from terminal ileum, which was treated by laparoscopic-assisted resection and end-to-end ileo-ileal anastomosis. Gross and microscopic examination revealed an encapsulated localized cocoon containing 40 cm of ileum entangled around an inflamed Meckel diverticulum. His intestinal obstruction and hematochezia got relieved.
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