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Laparoscopic management of terminal ileal volvulus caused by Meckel's diverticulum

A Xanthis1, A Hakeem1, P Safranek1

  • 1Cambridge University Hospitals NHS Foundation Trust , UK.

Annals of the Royal College of Surgeons of England
|August 13, 2015
PubMed

Insights

A rare Meckel

Area of Science:

  • Gastroenterology and Surgical Case Report

Background:

  • Meckel's diverticulum is a congenital anomaly with various potential complications.
  • Common complications include inflammation, bleeding, intussusception, obstruction, and perforation.

Observation:

  • A 32-year-old male presented with symptoms suggestive of bowel obstruction.
  • Imaging revealed a terminal ileal volvulus.
  • Surgical exploration identified a Meckel's diverticulum as the cause, without a typical vitelline band or axial torsion.

Findings:

  • The Meckel's diverticulum was the causative factor for the terminal ileal volvulus.
  • The volvulus occurred without the presence of a typical vitelline band or axial torsion.
  • Laparoscopic surgery was performed for successful management.

Implications:

  • This case expands the known spectrum of Meckel's diverticulum complications.
  • It underscores the importance of considering Meckel's diverticulum in adult small bowel volvulus.
  • Laparoscopic management offers a minimally invasive approach for such rare presentations.
Keywords:
Ileal volvulusLaparoscopicMeckel’s diverticulumMinimally invasiveSmall bowel obstruction

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