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Managing Meckel diverticulum: To resect or not resect?

Brian K Yorkgitis1, Kalli Devecki

  • 1Brian K. Yorkgitis is an assistant professor of surgery in the Division of Acute Care Surgery at the University of Florida College of Medicine-Jacksonville. Kalli Devecki is a general surgery resident in the Division of Acute Care Surgery at the University of Florida College of Medicine-Jacksonville. The authors have disclosed no potential conflicts of interest, financial or otherwise.

JAAPA : Official Journal of the American Academy of Physician Assistants
|September 25, 2020
PubMed

Insights

A rare case of small bowel obstruction caused by Meckel diverticulum was successfully treated. This condition, often presenting with abdominal pain, nausea, and vomiting, requires prompt diagnosis and management.

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Small bowel obstruction (SBO) is frequently caused by hernias and adhesions.
  • Other etiologies include malignancy, inflammation, infection, and Meckel diverticulum.

Observation:

  • A patient presented with acute abdominal pain, nausea, and vomiting.
  • Computed tomography (CT) revealed dilated bowel loops and an adjacent air-filled structure, suggesting internal hernia.

Findings:

  • Diagnostic laparoscopy identified a Meckel diverticulum.
  • A mesodiverticular band was lysed, and the diverticulum was preserved in situ.

Implications:

  • This case highlights Meckel diverticulum as a potential cause of SBO.
  • Conservative management of the diverticulum after band lysis can be effective.

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