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Axially torsional Meckel's diverticulum accompanied by small bowel volvulus: a case report
Yang Chen1, Yongzhi Liu1, Lihui Jiang1
1Department of General Surgery, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, Zhejiang, China.
Abstract:
Small bowel volvulus secondary to Meckel's diverticulum is rare, and a delayed diagnosis results in disastrous outcomes. Computed tomography is conducive to early differential diagnosis. In particular, a blind-ending pouch structure on CT always indicates Meckel's diverticulum. Diverticulectomy with or without adjacent partial small intestinal resection is the standard treatment for symptomatic Meckel's diverticulum. However, the therapy for asymptomatic Meckel's diverticulum is controversial. Here, we report the case of a 20-year-old man who suffered intestinal obstruction secondary to small bowel volvulus caused by an axially torsional, gangrenous, and giant Meckel's diverticulum. Diverticulectomy with partial intestinal resection was performed.
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