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Traumatic hemoperitoneum due to a Meckel's mesodiverticular band: case report

D McAneny1, S E Rapo, G A Grindlinger

  • 1Department of Surgery, Boston University Medical Center, MA 02118.

The Journal of Trauma
|February 1, 1989
PubMed

Insights

A mesodiverticular band, a rare cause of bleeding, can lead to bowel obstruction. Blunt trauma ruptured this band, causing hemoperitoneum in a Meckel

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Trauma Surgery

Background:

  • Meckel's diverticulum, a congenital anomaly of the small intestine, can have a unique blood supply.
  • This vascular supply may be embedded within the small bowel mesentery or, less commonly, within a distinct mesodiverticular band.
  • Mesodiverticular bands are infrequently associated with complications such as bowel obstruction and gastrointestinal hemorrhage.

Observation:

  • This case report details a rare instance of hemoperitoneum.
  • The bleeding originated from the traumatic disruption of a mesodiverticular band.
  • The patient experienced blunt abdominal trauma.

Findings:

  • The mesodiverticular band, containing the blood supply to the Meckel's diverticulum, was ruptured due to blunt force trauma.
  • This rupture resulted in significant intra-abdominal bleeding (hemoperitoneum).
  • The event highlights a rare but severe complication associated with Meckel's diverticulum anatomy.

Implications:

  • This case underscores the potential for mesodiverticular bands to be a source of life-threatening hemorrhage following trauma.
  • Understanding the vascular anatomy of Meckel's diverticulum is crucial for trauma assessment.
  • Prompt recognition and surgical intervention are vital for managing hemoperitoneum secondary to mesenteric or mesodiverticular band injury.

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