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Meckel's diverticulitis causing small bowel obstruction by a novel mechanism
Vishalkumar G Shelat1, Kaiwen Kelvin Li1, Anil Rao1
1Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Clinics and Practice
|April 26, 2014
Summary
Meckel
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Meckel's diverticulum affects 2% of the population, often asymptomatic.
- Gastrointestinal bleeding is the most common pediatric presentation.
- Symptomatic cases require surgery, but pre-operative diagnosis is challenging.
Observation:
- A rare case of small bowel obstruction in a pediatric patient.
- The obstruction was caused by Meckel's diverticulitis, an unusual mechanism.
- Diagnosis was confirmed only during exploratory surgery (laparotomy).
Findings:
- Presents an unusual cause of pediatric small bowel obstruction.
- Highlights diagnostic difficulties with Meckel's diverticulitis.
- Demonstrates the necessity of surgical intervention for symptomatic cases.
Implications:
- Suggests considering Meckel's diverticulitis in pediatric small bowel obstruction cases.
- Emphasizes the role of laparotomy when pre-operative diagnosis is uncertain.
- Contributes to understanding rare presentations of Meckel's diverticulum.
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