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Meckel's diverticulum incarcerated in a transmesocolic internal hernia
Si-Yuan Wu1, Meng-Hsing Ho1, Sheng-Der Hsu1
1Si-Yuan Wu, Meng-Hsing Ho, Sheng-Der Hsu, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
World Journal of Gastroenterology
|October 14, 2014
Summary
Meckel's diverticulum can cause intestinal obstruction through transmesocolic internal hernia. This rare condition, presenting as volvulus, requires prompt surgical intervention for adult patients.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Imaging
Background:
- Meckel's diverticulum is a common congenital anomaly.
- It can lead to various complications including intestinal obstruction.
- Transmesocolic internal hernia is a rare cause of obstruction related to Meckel's diverticulum.
Observation:
- A 45-year-old male presented with acute abdominal pain and distention.
- CT imaging revealed a Meckel's diverticulum within a transmesocolic internal hernia in the right subphrenic space.
- Signs of small bowel volvulus and obstruction were evident.
Findings:
- The patient was diagnosed with Meckel's diverticulum complicated by a transmesocolic internal hernia.
- Surgical confirmation of the diagnosis was performed.
- The patient experienced an uncomplicated postoperative recovery.
Implications:
- This case highlights a rare presentation of Meckel's diverticulum causing intestinal obstruction via internal hernia.
- Transmesocolic internal hernia associated with Meckel's diverticulum can lead to intestinal volvulus.
- Early surgical diagnosis and management are crucial for favorable outcomes.
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