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Surgically inverting an incidentally detected Meckel's diverticulum - Wrong method
Ketul Shah1, Lakhsman Khiria1, Premal Desai1
1Ahmedabad 380006, Gujarat, India.
Introduction:
Intusussception leading to intestinal obstruction is a known complication of Meckel's diverticulum. Inverting of Meckel's acts as a lead point for intussusception. Causes of inversion are many but surgical inversion leading to intusussception is extremely rare.
Presentation Of Case:
We hereby report a case of a 14 year adolescent boy operated previously for open appendicetomy presenting to us with intestinal obstruction who on exploration was found to have an surgically inverted Meckel's diverticulum acting as a lead point for ileo-colic intusussception.
Discussion:
To the best of our knowledge, surgically inverting any Meckel's diverticulum is never a treatment option even when the diverticulum is incidentally detected. Diverticulectomy or segmental resection is the procedure of choice for Meckel's diverticulum.
Conclusion:
Meckel's divereticulum should never be inverted surgically. Not only it is a wrong method but also increases the risk of complications.
Insights
Surgically inverting Meckel's diverticulum is a rare cause of intussusception and intestinal obstruction. This surgical technique is strongly discouraged due to increased complication risks.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Pediatric Surgery
Background:
- Intussusception leading to intestinal obstruction is a known complication of Meckel's diverticulum.
- Meckel's diverticulum inversion can act as a lead point for intussusception.
- Surgical inversion of Meckel's diverticulum causing intussusception is exceptionally rare.
Purpose of the Study:
- To report a rare case of intussusception caused by surgically inverted Meckel's diverticulum.
- To highlight the risks associated with surgical inversion of Meckel's diverticulum.
- To emphasize appropriate surgical management for Meckel's diverticulum.
Main Methods:
- Case report of a 14-year-old adolescent boy.
- Patient presented with intestinal obstruction.
- Surgical exploration revealed surgically inverted Meckel's diverticulum as the lead point for ileo-colic intussusception.
Main Results:
- A surgically inverted Meckel's diverticulum was identified as the cause of ileo-colic intussusception.
- The patient experienced intestinal obstruction due to this rare complication.
- This case underscores the potential dangers of a specific surgical approach.
Conclusions:
- Surgical inversion of Meckel's diverticulum is not a recommended treatment.
- Diverticulectomy or segmental resection are the preferred surgical options.
- Surgical inversion increases the risk of serious complications and should be avoided.
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