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Neonatal intestinal obstruction secondary to a floppy Meckel's diverticulum successfully treated by minimal access

Dayang Anita Abdul Aziz1, Syariz I Sehat, Marjmin Osman

  • 1Department of Surgery, National University of Malaysia (UKM) Medical Centre, Kuala Lumpur, Malaysia. dayanganita@yahoo.co.uk

BMJ Case Reports
|December 18, 2012
PubMed

Insights

A large, mobile Meckel's diverticulum caused acute intestinal obstruction in a neonate by direct compression. This case highlights a rare cause of neonatal bowel obstruction, successfully treated with minimally invasive surgery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neonatal Medicine

Background:

  • Meckel's diverticulum is a congenital anomaly with various known complications.
  • Common complications include diverticulitis, perforation, intussusception, and bleeding due to ectopic gastric mucosa.

Observation:

  • A neonate presented with acute intestinal obstruction.
  • The obstruction was caused by a large, mobile Meckel's diverticulum exerting direct compression on the adjacent small bowel.

Findings:

  • This is the first reported case of a large mobile Meckel's diverticulum causing mechanical small bowel obstruction solely through direct compression.
  • Diagnosis was confirmed via laparoscopy.
  • The neonate was successfully treated with curative surgical resection.

Implications:

  • This case expands the spectrum of Meckel's diverticulum presentations.
  • Highlights the importance of considering Meckel's diverticulum in neonatal intestinal obstruction.
  • Demonstrates the efficacy of minimally invasive surgical resection for this rare presentation.

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