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Mesodiverticular band and sudden death in children. A report of two cases
R R Pfalzgraf1, R E Zumwalt, M R Kenny
1Department of Pathology and Laboratory Medicine, University of Cincinnati College of Medicine.
Insights
A fibrous band linked to Meckel's diverticulum can cause internal hernias, leading to sudden bowel obstruction and death. This rare but fatal condition is crucial for forensic pathology investigations.
Area of Science:
- Gastroenterology
- Forensic Pathology
- Surgical Anatomy
Background:
- Meckel's diverticulum is a congenital anomaly of the small intestine.
- A rare complication involves a fibrous band connecting the diverticulum to the mesentery.
Observation:
- Internal herniation of small bowel loops can occur beneath this mesodiverticular band.
- Incarceration and subsequent infarction of herniated bowel segments are possible.
Findings:
- This specific type of internal hernia presents a high risk of mortality.
- Sudden, unexpected death can be a consequence of bowel infarction.
Implications:
- Awareness of this condition is vital for forensic pathologists in unexplained death cases.
- Understanding the anatomical predisposition can aid in surgical diagnosis and prevention.
Abstract:
Meckel's diverticulum is occasionally associated with a fibrous band, which connects the tip of the diverticulum to the mesentery. Beneath this mesodiverticular band, herniated loops of small bowel can incarcerate and infarct. The high mortality rate and the suddenness of death associated with this internal hernia make it important to the forensic pathologist.