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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
Summary

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.

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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.