Laparoscopic surgery for small-bowel obstruction caused by Meckel's diverticulum

Area of Science:

• Gastroenterology and Hepatology
• Surgical Innovation

Background:

• Small bowel obstruction is a common surgical emergency.
• Meckel's diverticulum (MD) is a congenital anomaly that can lead to complications, including obstruction.
• Mesodiverticular bands (MDBs) are rare causes of intestinal obstruction associated with MD.

Observation:

• A 26-year-old woman presented with symptoms of small bowel obstruction.
• Computed tomography revealed a Meckel's diverticulum and a mesodiverticular band.
• Laparoscopic surgery was performed for intestinal decompression and Meckel's diverticulectomy.

Findings:

• Histological examination confirmed heterotopic gastric mucosa within the Meckel's diverticulum.
• The patient experienced an uneventful recovery and remained symptom-free at 4-year follow-up.
• This case highlights successful preoperative diagnosis and minimally invasive treatment of MD-related obstruction.

Implications:

• Laparoscopic surgery is a feasible and effective treatment for Meckel's diverticulum-induced small bowel obstruction.
• Early diagnosis and intervention can lead to favorable patient outcomes.
• This case contributes to the understanding of rare causes of small bowel obstruction and their management.