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Meckel's Diverticulitis. A rare cause of small bowel obstruction

Andreas Skarpas1, Petros Siaperas1, Athanasios Zoikas1

  • 12nd Department of Surgery G.H. Sismanoglion, Sismanogliou 37, 15126 Marousi, Greece.

Journal of Surgical Case Reports
|October 7, 2020
PubMed

Insights

Meckel's Diverticulum, a common intestinal anomaly, can cause serious complications like bowel obstruction. This case highlights a rare cause of obstruction due to a mesenterium-diverticular band.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's Diverticulum is a congenital anomaly of the small intestine, typically located 40-60 cm from the cecum.
  • While often asymptomatic, it can lead to significant complications in approximately 4% of individuals.
  • Complications include diverticulitis, abscess formation, fistula, bowel obstruction, and perforation.

Observation:

  • A 63-year-old female presented with abdominal distension, right lower quadrant pain, and fever.
  • Emergency exploratory laparotomy was performed due to the patient's acute presentation.

Findings:

  • The laparotomy revealed a small bowel obstruction.
  • The obstruction was caused by a bowel loop entrapped by a mesenterium-diverticular band, a rare complication of Meckel's Diverticulum.

Implications:

  • This case underscores the importance of considering Meckel's Diverticulum in the differential diagnosis of bowel obstruction, even in older adults.
  • Mesenterium-diverticular bands represent a specific and uncommon mechanism for intestinal obstruction secondary to Meckel's Diverticulum.
  • Surgical intervention is crucial for managing symptomatic Meckel's Diverticulum and its complications.
Keywords:
Meckel’s Diverticulummesenteriun-diverticular bandmesodiverticular bandsmall bowel obstructionsymphysis

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